Damage Control Resuscitation in polytrauma patient

被引：4

作者：

Gonzalez Posada, M. A. ^{[1
,2
]}

Biarnes Sune, A. ^{[1
,2
]}

Naya Sieiro, J. M. ^{[1
]}

Salvadores de Arzuaga, C., I ^{[1
]}

Colomina Soler, M. J. ^{[3
,4
]}

机构：

[1] Hosp Univ Gall dHebron, Serv Anestesiol & Reanimac, Barcelona, Spain

[2] Univ Autonoma Barcelona, Barcelona, Spain

[3] Hosp Univ Bellvitge, Serv Anestesiol & Reanimac, Barcelona, Spain

[4] Univ Barcelona, Barcelona, Spain

来源：

REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2019年 / 66卷 / 07期

关键词：

Damage control resuscitation; Hyperfibrinotisis; Hemorrhagic shock; Tranexarnic acid; Traumatic coagutopathy; Potytrauma patient; ENDOTHELIAL GLYCOCALYX DEGRADATION; TRAUMA-INDUCED COAGULOPATHY; MASSIVE TRANSFUSION; FIBRINOLYSIS SHUTDOWN; HEMOTHERAPY ALGORITHM; INCREASED MORTALITY; SEVERE HEMORRHAGE; TRANEXAMIC ACID; CRITICALLY-ILL; MANAGEMENT;

D O I：

10.1016/j.redar.2019.03.009

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Haemorrhagic shock is one of the main causes of mortality in severe polytrauma patients. To increase the survival rates, a combined strategy of treatment known as Damage Control has been developed. The aims of this article are to analyse the actual concept of Damage Control Resuscitation and its three treatment levels, describe the best transfusion strategy, and approach the acute coagulopathy of the traumatic patient as an entity. The potential changes of this therapeutic strategy over the coming years are also described. (C) 2019 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页码：394 / 404

页数：11

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