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[Volume therapy in traumatology].

H Moen1

  • 1Intensivavdelingen, Kirurgisk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 10, 1992
PubMed
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Managing circulatory failure in trauma patients involves understanding shock stages and fluid resuscitation. This review covers pathophysiology, venous access techniques, volume substitutes, and sodium bicarbonate for lactacidosis.

Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Critical Care

Background:

  • Circulatory failure is a primary concern in multitrauma patients.
  • Understanding the progression from compensated to irreversible shock is crucial.

Purpose of the Study:

  • To detail the pathophysiology of circulatory failure in trauma.
  • To discuss practical management strategies including venous access and fluid resuscitation.
  • To review commonly used volume substitutes and sodium bicarbonate for lactacidosis.

Main Methods:

  • Literature review of pathophysiological events in circulatory failure.
  • Discussion of clinical management of shock and venous access.
  • Analysis of properties of volume substitutes.
  • Review of sodium bicarbonate use in lactacidosis.

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Main Results:

  • Early recognition and management of circulatory failure are vital.
  • Surgical cut-down is recommended for difficult venous access.
  • The choice of volume substitute impacts patient outcomes.
  • Sodium bicarbonate may be considered for lactacidosis management.

Conclusions:

  • Effective management of circulatory failure in trauma requires a comprehensive understanding of pathophysiology and timely interventions.
  • Appropriate fluid resuscitation and venous access are critical.
  • Careful selection of volume substitutes and consideration of metabolic acidosis management are important.