Preoperative fluid management in traumatic shock: A retrospective study for identifying optimal therapy of fluid resuscitation for aged patients

Medicine
Xiaoyu LouPeiying Jin

Abstract

Fluid resuscitation was used on aged patients with traumatic shock in their early postoperative recovery. The present study aimed to assess whether different fluid resuscitation strategies had an influence on aged patients with traumatic shock.A total of 219 patients with traumatic shock were recruited retrospectively. Lactated Ringer and hydroxyethyl starch solution were transfused for fluid resuscitation before definite hemorrhagic surgery. Subjects were divided into 3 groups: group A: 72 patients were given aggressive fluid infusion at 20 to 30 mL/min to restore normal mean arterial pressure (MAP) of 65 to 75 mm Hg. Group B: 72 patients were slowly given restrictive hypotensive fluid infusion at 4 to 5 mL/min to maintain MAP of 50 to 65 mm Hg. Group C: 75 patients were given personalized infusion to achieve MAP of 75 to 85 mm Hg. Preoperative infusion volume, preoperative MAP, optimal initial points for surgery, postoperative shock time and mortality rates at 6 and 24 hours after surgery were determined.No significant difference in clinical characteristics was found among the 3 groups. Amount of preoperative infusion was considerably lower in the restrictive group (P < .01, compared with group A). A significant difference in...Continue Reading

References

Jun 5, 2002·The Journal of Trauma·Richard P DuttonThomas M Scalea
Sep 23, 2003·The Journal of Trauma·James MapstonePhillip Evans
Oct 14, 2005·Critical Care : the Official Journal of the Critical Care Forum·David S Kauvar, Charles E Wade
Dec 24, 2005·Shock·J L Lomas-NieraAlfred Ayala
Sep 5, 2009·Current Opinion in Critical Care·Timothy C Nunez, Bryan A Cotton
Feb 18, 2010·Shock·Heena P Santry, Hasan B Alam
Apr 8, 2010·Critical Care : the Official Journal of the Critical Care Forum·Rolf RossaintUNKNOWN Task Force for Advanced Bleeding Care in Trauma
Jan 15, 2013·Annals of Intensive Care·Adrien BougléJacques Duranteau
Sep 12, 2013·Critical Care : the Official Journal of the Critical Care Forum·Tao LiLiangming Liu
Jan 28, 2015·Annals of Intensive Care·Alena Lira, Michael R Pinsky

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Citations

Mar 29, 2019·Critical Care : the Official Journal of the Critical Care Forum·Donat R SpahnRolf Rossaint

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SPSS

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