The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type.
The aim of the study was to determine the effect of quantitative and qualitative changes in fluid resuscitation on the dynamics of markers of the shock state in patients with multiple trauma. 73 patients with multiple trauma were divided into two groups, depending on the fluid resuscitation type (li...
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SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"
2017-12-01
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Online Access: | http://journals.uran.ua/index.php/2307-0404/article/view/117672 |
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doaj-368344167f7248d2b0960ffa560f05f02020-11-25T00:05:18ZengSE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"Medičnì Perspektivi2307-04042017-12-01224687310.26641/2307-0404.2017.4.117672117672The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type.D. A. KrishtaforO. M. KlygunenkoThe aim of the study was to determine the effect of quantitative and qualitative changes in fluid resuscitation on the dynamics of markers of the shock state in patients with multiple trauma. 73 patients with multiple trauma were divided into two groups, depending on the fluid resuscitation type (liberal or restrictive). The parameters of hemodynamics, hourly diuresis, general blood test, coagulogram, acid-base and gas composition of blood were studied. A decrease in the infusion volume in traumatic blood loss due to the restriction of the crystalloids and colloids volume allowed to effectively reduce such manifestations of shock as hypotension, tachycardia and acidosis, to provide an adequate rate of diuresis. In restrictive infusion group the duration of vasopressor support was shorter, the fluctuations in peripheral blood parameters were less pronounced, coagulation normalized earlier, positive water balance was significantly lower, mortality and the number of complications were reduced. Restriction of fluid resuscitation volume allows to successfully treat shock and decrease multiple organ dysfunction, number of complications and mortality.http://journals.uran.ua/index.php/2307-0404/article/view/117672multiple traumableedingbleeding managementmultiple organ failureliberal fluid resuscitationrestrictive fluid resuscitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
D. A. Krishtafor O. M. Klygunenko |
spellingShingle |
D. A. Krishtafor O. M. Klygunenko The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. Medičnì Perspektivi multiple trauma bleeding bleeding management multiple organ failure liberal fluid resuscitation restrictive fluid resuscitation |
author_facet |
D. A. Krishtafor O. M. Klygunenko |
author_sort |
D. A. Krishtafor |
title |
The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
title_short |
The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
title_full |
The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
title_fullStr |
The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
title_full_unstemmed |
The dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
title_sort |
dynamics of markers of a shock state in traumatic blood loss depending on fluid resuscitation type. |
publisher |
SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine" |
series |
Medičnì Perspektivi |
issn |
2307-0404 |
publishDate |
2017-12-01 |
description |
The aim of the study was to determine the effect of quantitative and qualitative changes in fluid resuscitation on the dynamics of markers of the shock state in patients with multiple trauma. 73 patients with multiple trauma were divided into two groups, depending on the fluid resuscitation type (liberal or restrictive). The parameters of hemodynamics, hourly diuresis, general blood test, coagulogram, acid-base and gas composition of blood were studied. A decrease in the infusion volume in traumatic blood loss due to the restriction of the crystalloids and colloids volume allowed to effectively reduce such manifestations of shock as hypotension, tachycardia and acidosis, to provide an adequate rate of diuresis. In restrictive infusion group the duration of vasopressor support was shorter, the fluctuations in peripheral blood parameters were less pronounced, coagulation normalized earlier, positive water balance was significantly lower, mortality and the number of complications were reduced. Restriction of fluid resuscitation volume allows to successfully treat shock and decrease multiple organ dysfunction, number of complications and mortality. |
topic |
multiple trauma bleeding bleeding management multiple organ failure liberal fluid resuscitation restrictive fluid resuscitation |
url |
http://journals.uran.ua/index.php/2307-0404/article/view/117672 |
work_keys_str_mv |
AT dakrishtafor thedynamicsofmarkersofashockstateintraumaticbloodlossdependingonfluidresuscitationtype AT omklygunenko thedynamicsofmarkersofashockstateintraumaticbloodlossdependingonfluidresuscitationtype AT dakrishtafor dynamicsofmarkersofashockstateintraumaticbloodlossdependingonfluidresuscitationtype AT omklygunenko dynamicsofmarkersofashockstateintraumaticbloodlossdependingonfluidresuscitationtype |
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