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Strategies for Intravenous Fluid Resuscitation in Trauma Patients.
Robert Wise1,2,3, Michael Faurie4, Manu L N G Malbrain5
1Pietermaritzburg Metropolitan Department of Anaesthetics, Critical Care and Pain Management, Pietermaritzburg, South Africa. Robert.Wise@kznhealth.gov.za.
World Journal of Surgery
|January 7, 2017
Summary
Managing intravenous fluids for trauma patients in developing nations presents unique challenges due to blood loss and coagulopathy. This review offers practical fluid management strategies tailored for resource-limited settings.
Area of Science:
- Trauma care
- Critical care medicine
- Global health
Background:
- Intravenous fluid management in trauma is complex, often worsened by coagulopathy and hemorrhage.
- Developing countries face unique challenges in providing optimal trauma care due to resource limitations.
Purpose of the Study:
- To review fluid management strategies for trauma patients in resource-limited settings.
- To provide practical recommendations for decision-making in trauma fluid resuscitation.
Main Methods:
- Literature review focusing on fluid management in trauma.
- Analysis of challenges specific to developing world contexts.
- Development of a practical approach for resource-limited environments.
Main Results:
- Standard fluid management protocols may be inadequate in resource-limited settings.
- Careful consideration of coagulopathy and blood loss is crucial.
- Tailored fluid strategies are essential for effective trauma care.
Conclusions:
- Effective intravenous fluid management in trauma requires adaptation for developing countries.
- Recommendations are provided to optimize care in resource-limited environments.
- This review aims to improve outcomes for trauma patients globally.
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