Reanimación con fluidos y hemoderivados en trauma

The leading cause of preventable death in trauma is uncontrolled bleeding. Some of these deaths may be secondary to the Acute Coagulopathy of Trauma, which is present in 30% of patients on admission to hospital. In recent years, Damage Control Resuscitation has been developed, which aims to give a h...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ruiz,Carolina, Andresen,Max
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Blood coagulation disorders Multiple Trauma Resuscitation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600010
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872014000600010
record_format	dspace
spelling	oai:scielo:S0034-988720140006000102014-11-06Reanimación con fluidos y hemoderivados en traumaRuiz,CarolinaAndresen,Max Blood coagulation disorders Multiple Trauma Resuscitation The leading cause of preventable death in trauma is uncontrolled bleeding. Some of these deaths may be secondary to the Acute Coagulopathy of Trauma, which is present in 30% of patients on admission to hospital. In recent years, Damage Control Resuscitation has been developed, which aims to give a hemostatic resuscitation and avoid deaths caused by bleeding. This strategy considers control of bleeding with damage control surgery or interventional procedures, early transfusion of all blood products, permissive hypotension and limited use of crystalloids. Several studies have reported that early transfusion of all blood products, with a ratio close to 1:1, may be associated with lower mortality and less requirements of total transfusions in trauma patients at risk of massive bleeding and massive transfusion. These findings must be corroborated in randomized controlled trials, along with determining the optimum ratio between blood products. In stable patients, a restrictive transfusion strategy is safe and appropriate.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.6 20142014-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600010es10.4067/S0034-98872014000600010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Blood coagulation disorders Multiple Trauma Resuscitation
spellingShingle	Blood coagulation disorders Multiple Trauma Resuscitation Ruiz,Carolina Andresen,Max Reanimación con fluidos y hemoderivados en trauma
description	The leading cause of preventable death in trauma is uncontrolled bleeding. Some of these deaths may be secondary to the Acute Coagulopathy of Trauma, which is present in 30% of patients on admission to hospital. In recent years, Damage Control Resuscitation has been developed, which aims to give a hemostatic resuscitation and avoid deaths caused by bleeding. This strategy considers control of bleeding with damage control surgery or interventional procedures, early transfusion of all blood products, permissive hypotension and limited use of crystalloids. Several studies have reported that early transfusion of all blood products, with a ratio close to 1:1, may be associated with lower mortality and less requirements of total transfusions in trauma patients at risk of massive bleeding and massive transfusion. These findings must be corroborated in randomized controlled trials, along with determining the optimum ratio between blood products. In stable patients, a restrictive transfusion strategy is safe and appropriate.
author	Ruiz,Carolina Andresen,Max
author_facet	Ruiz,Carolina Andresen,Max
author_sort	Ruiz,Carolina
title	Reanimación con fluidos y hemoderivados en trauma
title_short	Reanimación con fluidos y hemoderivados en trauma
title_full	Reanimación con fluidos y hemoderivados en trauma
title_fullStr	Reanimación con fluidos y hemoderivados en trauma
title_full_unstemmed	Reanimación con fluidos y hemoderivados en trauma
title_sort	reanimación con fluidos y hemoderivados en trauma
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000600010
work_keys_str_mv	AT ruizcarolina reanimacionconfluidosyhemoderivadosentrauma AT andresenmax reanimacionconfluidosyhemoderivadosentrauma
_version_	1718436761816793088

Reanimación con fluidos y hemoderivados en trauma

Ejemplares similares