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[Infusion treatment in shock].

H Esser

    Infusionstherapie Und Klinische Ernahrung
    |December 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Dextran, gelatin, and starch solutions are used for shock therapy but require careful administration to prevent complications. Blood transfusions are reserved for severe blood loss, with alkaline solutions treating concurrent metabolic acidosis.

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    Area of Science:

    • Emergency Medicine
    • Pharmacology
    • Critical Care

    Background:

    • Volume substitutes like dextran, gelatin, and starch solutions are primary treatments for various shock types.
    • Careful administration of these plasma expanders is crucial to mitigate potential cardiac and pulmonary complications.

    Purpose of the Study:

    • To review the current applications and safety considerations of volume substitutes in shock management.
    • To outline the appropriate use of blood transfusions and adjunctive therapies for metabolic acidosis in shock patients.

    Main Methods:

    • Literature review of existing studies on volume expanders and shock treatment.
    • Analysis of clinical guidelines regarding the use of dextran, gelatin, and starch solutions.
    • Examination of protocols for managing complications and associated metabolic acidosis.

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    Main Results:

    • Volume substitutes are effective in managing shock but necessitate strict monitoring to avoid cardial and pulmonal adverse events.
    • Blood transfusions are indicated only in cases of significant hemorrhage, often in conjunction with volume substitutes.
    • Metabolic acidosis, a common co-morbidity in shock, is effectively treated with alkaline solutions.

    Conclusions:

    • Judicious use of volume substitutes is essential for effective shock therapy.
    • Integrated treatment strategies involving volume expanders, blood transfusion when necessary, and metabolic correction improve patient outcomes.
    • Further research into optimizing the safety and efficacy of shock management therapies is warranted.