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Br J Anaesth. 2012 Dec;109 Suppl 1:i39-i46. doi: 10.1093/bja/aes389.

Haemostatic resuscitation.

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1
Department of Anesthesia and Critical Care, University of Chicago, Anesthesia Quality Institute 520 N. Northwest Highway, Park Ridge, IL 60068, USA. r.dutton@asahq.org

Abstract

Recommendations for resuscitation of patients in early haemorrhagic shock, with active ongoing bleeding, have evolved in recent years. This review covers current theories of the pathophysiology of shock and recommended treatments, including damage control surgery, deliberate hypotensive management, administration of antifibrinolytics, early support of the coagulation system, and the possible role of deep anaesthesia. Future directions for resuscitation research are discussed.

PMID:
23242750
DOI:
10.1093/bja/aes389
[Indexed for MEDLINE]
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