Universität zu Köln

Maegele, M., Froehlich, M., Caspers, M. and Kaske, S. (2017). Volume replacement during trauma resuscitation: a brief synopsis of current guidelines and recommendations. Eur. J. Trauma Emerg. Surg., 43 (4). S. 439 - 444. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1863-9941

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Abstract

Introduction Intravascular volume and fluid replacement are still cornerstones to correct fluid deficits during early trauma resuscitation, but optimum strategies remain under debate. Methods A synopsis of best current knowledge with reference to the following guidelines and recommendations is presented: (1) The European Guideline on Management of Major Bleeding and Coagulopathy following Trauma (fourth edition), (2) S3 Guideline on Treatment of Patients with Severe and Multiple Injuries [English Version of the German Guideline S3 Leitlinie Polytrauma/Schwerverletzten-Behandlung/AWMF Register-Nr. 012/019 sponsored by the German Society for Trauma Surgery/Deutsche Gesellschaft fur Unfallchirurgie (DGU)], and (3) S3 Guideline Intravascular Volume Treatment in the Adult [AWMF Register-Nr 001/020 sponsored by the German Society for Anesthesiology and Intensive Medicine/Deutsche Gesellschaft fur Anasthesiologie und Intensivmedizin (DGAI)]. Results and conclusions Volume replacement at a reduced level in severely injured and bleeding trauma patients is advocated (permissive hypotension) until the bleeding is controlled. ATLS principles with Hb, BE, and/ or lactate can assess perfusion, estimate/monitor the extent of bleeding/shock, and guide therapy. Isotonic crystalloid solutions are first-line and specific recommendations apply for patients with TBI.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Maegele, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Froehlich, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Caspers, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaske, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-223185
DOI:	10.1007/s00068-017-0771-0
Journal or Publication Title:	Eur. J. Trauma Emerg. Surg.
Volume:	43
Number:	4
Page Range:	S. 439 - 444
Date:	2017
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1863-9941
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HYPOTENSIVE RESUSCITATION; FLUID RESUSCITATION; HEMORRHAGIC-SHOCK; COAGULOPATHY; SURVIVAL; INJURY Multiple languages Emergency Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22318