Journals / Türk Resüsitasyon Dergisi / 2023 / Cilt: 2 Sayı: 2

BLOOD MANAGEMENT IN TRAUMATIC RESUSCITATION

TRAVMATİK RESÜSİTASYONDA KAN YÖNETİMİ

Pages
46–61
Publication Date
2023-09-28
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This review aims to provide insights into the recognition of major bleeding and the appropriate administration of blood products, guided by current evidence.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Trauma related hemorrhage ranks among the top preventable causes of death.
📊
Key Findings & Data:Traumatic coagulopathy, observed in approximately one-third of patients with hemorrhage, contributes to increased mortality rates.To effectively manage bleeding and promptly administer appropriate blood products, a systematic approach is essential.
💡
Conclusion & Impact:This review aims to provide insights into the recognition of major bleeding and the appropriate administration of blood products, guided by current evidence.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Travma · Travma ilişkili Koagülopati · Kan Transfüzyonu

Abstract

Trauma related hemorrhage ranks among the top preventable causes of death. Traumatic coagulopathy, observed in approximately one-third of patients with hemorrhage, contributes to increased mortality rates.To effectively manage bleeding and promptly administer appropriate blood products, a systematic approach is essential. Implementing pre-hospital restrictive fluid therapy, antifibrinolytic treatment, and targeted blood product administration based on post-admission laboratory tests enhances the chances of successful outcomes. This review aims to provide insights into the recognition of major bleeding and the appropriate administration of blood products, guided by current evidence.

Özet

Travmaya bağlı hemoraji, önlenebilir ölümler arasında ilk sıralarda yer almaktadır. Kan kaybıyla birlikte hastaların 1/3’ünde görülebilen travmatik koagülopati mortalite oranlarını artırmaktadır. Kanamanın kontrol altına alınmasıyla birlikte hızlı ve uygun kan ürünlerinin verilmesini sağlayabilmek için sistematik bir yaklaşım gerekmektedir. Hastane öncesi kısıtlayıcı sıvı tedavisi, antifibrinolitik tedavi, hastaneye kabul sonrası laboratuar testleriyle hedefe yönelik kan ürünlerinin uygulanması başarı şansını artırmaktadır. Bu derlemede, majör kanamanın tanınması, uygun laboratuar testleriyle hangi kan ürünlerinin uygulanması gerektiği mevcut kanıtlar eşliğinde aktarılmaya çalışılmıştır.

🔖

Cite This Article

PINAR, H. U. (2023). BLOOD MANAGEMENT IN TRAUMATIC RESUSCITATION. Türk Resüsitasyon Dergisi, Cilt: 2 Sayı: 2, 46–61. https://ajindex.com/articles/978321

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Lott C, Truhlář A, Alfonzo A, et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021;161:152-219.
  2. Cole E, Weaver A, Gall L, et al. A Decade of Damage Control Resuscitation: New Transfusion Practice, New Survivors, New Directions. Ann Surg. 2021;273(6):1215-1220.
  3. Rossaint, R., Afshari, A., Bouillon, B, et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Crit Care. 2023;27(1):80. Mutschler M, Nienaber U, Brockamp T, et al. A critical reappraisal of the ATLS classification of hypovolaemic shock: does it really reflect clinical reality? Resuscitation. 2013;84(3):309-13.
  4. El-Menyar A, Goyal P, Tilley E, Latifi R. The clinical utility of shock index to predict the need for blood transfusion and outcomes in trauma. J Surg Res. 2018;227:52-59.
  5. Priestley EM, Inaba K, Byerly S, et al. Pulse Pressure as an Early Warning of Hemorrhage in Trauma Patients. J Am Coll Surg. 2019;229(2):184-191.
  6. Bickell WH, Wall MJ Jr, Pepe PE, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med. 1994;331(17):1105-9.
  7. Tran A, Yates J, Lau A, Lampron J, Matar M. Permissive hypotension versus conventional resuscitation strategies in adult trauma patients with hemorrhagic shock: A systematic review and meta-analysis of randomized controlled trials. J Trauma Acute Care Surg. 2018;84(5):802-808.
  8. Safiejko K, Smereka J, Filipiak KJ, et al. Effectiveness and safety of hypotension fluid resuscitation in traumatic hemorrhagic shock: A systematic review and meta-analysis of randomized controlled trials. Cardiol J. 2022;29(3):463-471.
  9. Wang CH, Hsieh WH, Chou HC, et al. Liberal versus restricted fluid resuscitation strategies in trauma patients: a systematic review and meta-analysis of randomized controlled trials and observational studies. Crit Care Med. 2014;42(4):954-61.
  10. Kasotakis G, Sideris A, Yang Y, et al. Aggressive early crystalloid resuscitation adversely affects outcomes in adult blunt trauma patients: an analysis of the Glue Grant database. J Trauma Acute Care Surg. 2013;74(5):1215-21.
  11. Gauss T, Gayat E, Harrois A, et al Effect of early use of noradrenaline on in-hospital mortality in haemorrhagic shock after major trauma: a propensity-score analysis. Br J Anaesth. 2018;120(6):1237-1244.
  12. Tseng CH, Chen TT, Wu MY, Chan MC, Shih MC, Tu YK. Resuscitation fluid types in sepsis, surgical, and trauma patients: a