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Fluid Management in Hemorrhagic Shock by Andreas Markl-Le-Lev ́e & Ingrid Haller & Mirjam Bachler is a nonfiction available to read on EtoBox.

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DOI: 10.1097/ACO.0000000000001481 Current Opinion in Anesthesiology, Volume. XXX, Issue. 00, xxx xxx XXX Purpose of review Fluid management in hemorrhagic shock is a controversial topic, and there are evolving clinical guidelines and evidence-based practice. This review aims to highlight the physiological aspects in the light of current evidence on which volume replacement solution to use. Recent findings Current evidence and international guidelines are shifting from a liberal to a restrictive fluid resuscitation strategy, emphasizing the potential risks associated with aggressive fluid therapy. The 'lethal triad of trauma' (hypoperfusion, acidosis, and coagulopathy) plays a crucial role in the pathophysiology of hemorrhagic shock. While crystalloids are less effective at restoring intravascular volume, colloids (especially hydroxyethyl starch) have raised concerns about potential adverse effects on renal function and coagulation. Albumin remains controversial, as studies showing no clear benefit and an increased mortality in traumatic brain injury patients. Fresh frozen plasma, may be useful in massive transfusion situations but is not recommended for volume resuscitation. Summar

Who reads Fluid Management in Hemorrhagic Shock?

Author

Andreas Markl-Le-Lev ́e & Ingrid Haller & Mirjam Bachler

Publisher

Current Opinion in Anesthesiology

Published

2025

Language

EN

Category

nonfiction

Subjects

Medical, Anesthesiology And Intensive Care, Medicine