TY - JOUR
T1 - Fluid resuscitation for trauma patients in the 21st century
AU - Whinney, Robb R.
AU - Cohn, Stephen M.
AU - Zacur, Sharline J.
PY - 2000/12/21
Y1 - 2000/12/21
N2 - There is no consensus regarding the optimal treatment of hemorrhagic shock in trauma patients. Continued controversy exists regarding the most appropriate fluid during trauma resuscitation. Published data can be found in support of isotonic crystalloids, hypertonic solutions, colloids, and, recently, blood substitutes. None of these prospective randomized clinical studies were large enough (sufficiently powered statistically) to demonstrate a survival benefit for any particular type of volume resuscitation. Ongoing investigations in fluid resuscitation are changing our understanding of the treatment of shock. This update reviews the recent literature on fluid resuscitation in the trauma patient and speculates on future trends in this exciting field. (C) 2000 Lippincott Williams and Wilkins, Inc.
AB - There is no consensus regarding the optimal treatment of hemorrhagic shock in trauma patients. Continued controversy exists regarding the most appropriate fluid during trauma resuscitation. Published data can be found in support of isotonic crystalloids, hypertonic solutions, colloids, and, recently, blood substitutes. None of these prospective randomized clinical studies were large enough (sufficiently powered statistically) to demonstrate a survival benefit for any particular type of volume resuscitation. Ongoing investigations in fluid resuscitation are changing our understanding of the treatment of shock. This update reviews the recent literature on fluid resuscitation in the trauma patient and speculates on future trends in this exciting field. (C) 2000 Lippincott Williams and Wilkins, Inc.
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U2 - 10.1097/00075198-200012000-00004
DO - 10.1097/00075198-200012000-00004
M3 - Review article
AN - SCOPUS:0033674856
VL - 6
SP - 395
EP - 400
JO - Current Opinion in Critical Care
JF - Current Opinion in Critical Care
SN - 1070-5295
IS - 6
ER -