复苏
医学
凝血病
氨甲环酸
重症监护医学
体温过低
损伤控制手术
麻醉
酸中毒
外科
失血
作者
Rachel E Bridwell,Andrew M Schaffrinna,Brit Long,John Christopher Graybill,Sumeru Mehta
出处
期刊:PubMed
[National Institutes of Health]
日期:2021-10-28
卷期号: (PB 8-21-04/05/06): 20-31
被引量:2
摘要
Damage control resuscitation (DCR) simultaneously tackles hemorrhage control and balanced resuscitation in complex multisystem trauma patients. This technique can improve patient outcomes. This review outlines the importance of DCR with hemorrhage control and administration of fresh whole blood or component therapy if not available and avoiding crystalloid administration. Additionally, administration of tranexamic acid and calcium prove beneficial in critically ill trauma patients. Avoidance of acidosis, hypothermia, and coagulopathy remains a key but challenging goal of DCR.
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