Resuscitation Strategies for the Small Animal Trauma Patient

被引:0
作者
Balakrishnan, Anusha [1 ]
机构
[1] Cornell Univ Vet Specialists, 880 Canal St, Stamford, CT 06902 USA
关键词
Trauma; Resuscitation; Transfusion; Crystalloid; Colloid; Coagulopathy; HYDROXYETHYL STARCH 130/0.4; ACUTE KIDNEY INJURY; SERUM CREATININE CONCENTRATION; FLUID RESUSCITATION; HYPERTONIC SALINE; RETROSPECTIVE EVALUATION; PLASMA CREATININE; HEMORRHAGIC-SHOCK; DAMAGE CONTROL; BLUNT TRAUMA;
D O I
10.1016/j.cvsm.2020.07.012
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Traumatic injuries in small animals are a common cause for presentation to emergency departments. Severe traumatic injury results in a multitude of systemic responses, which can exacerbate initial tissue damage. Trauma resuscitation should focus on the global goals of controlling hemorrhage, improving tissue hypoperfusion, and minimizing ongoing inflammation and morbidity through the concept of “damage-control resuscitation.” This approach focuses on the balanced use of blood products, hemorrhage control, and minimizing aggressive crystalloid use. Although these tenets may not be directly applicable to every veterinary patient with trauma, they provide guidance when managing the most severely injured subpopulation of these patients. © 2020 Elsevier Inc.
引用
收藏
页码:1385 / 1396
页数:12
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