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Normothermic rapid volume replacement in traumatic hypovolemia. A prospective analysis using a new device
Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1987
Summary
The Rapid Solution Administration Set (RSAS) effectively delivers normothermic fluids in trauma patients, improving temperature and potentially 24-hour survival. Further study is needed for critically injured patients.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Critical Care
Background:
- Inadequate infusion rates and hypothermia complicate traumatic hemorrhagic shock management.
- Rapid volume restoration is critical for survival in trauma patients.
Purpose of the Study:
- To evaluate the efficacy and safety of the Rapid Solution Administration Set (RSAS) for normothermic volume replacement in trauma patients.
- To assess the impact of RSAS on patient temperature, fluid resuscitation volumes, and mortality.
Main Methods:
- The RSAS was used in 33 consecutive multiple-trauma patients.
- Infusion rates, volumes of packed red blood cells, blood products, and crystalloid were recorded.
- Patient temperature, systolic blood pressure, trauma score, and mortality were analyzed.
Main Results:
- RSAS enabled normothermic (mean 35.2°C) volume restoration at high flow rates.
- Patients received substantial volumes of resuscitation fluids within 24 hours.
- Overall mortality was 61%, with higher mortality in patients with lower trauma scores (≤5).
Conclusions:
- RSAS provides an uncomplicated method for normothermic volume replacement in trauma.
- The device may improve 24-hour survival in potentially salvageable patients.
- Further evaluation is needed for RSAS use in patients with lethal injuries.