Citation

Palmer L. Vet. Clin. North Am. Small Anim. Pract. 2016; 47(2): 397-410.

Affiliation

Wilford & Kate Bailey Small Animal Teaching Hospital, Auburn University, 1220 Wire Road, Auburn, AL 36849, USA. Electronic address: lpalmer2508@gmail.com.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.cvsm.2016.10.014

PMID

27914759

Abstract

Massive hemorrhage remains a major cause of traumatic deaths. The ideal fluid resuscitative strategy is much debated. Research has provided inconsistent results regarding which fluid strategy is ideal; the optimum fluid type, timing, and volume remains elusive. Aggressive large-volume resuscitation has been the mainstay based on controlled hemorrhage animal models. For uncontrolled hemorrhagic shock, liberal fluid resuscitative strategies exacerbate the lethal triad, invoke resuscitative injury, and increase mortality while more restrictive fluid strategies tend to ameliorate trauma-induced coagulopathy and favor a greater chance of survival. This article discusses the current evidence regarding liberal and restrictive fluid strategies for trauma.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en