Consensus must be found on intravenous fluid therapy management in trauma patients
Rev. Rol enferm
; 43(1,supl): 374-379, ene. 2020. tab
Artigo
em Inglês
| IBECS
| ID: ibc-193331
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Introduction:
Trauma is an important cause of death among young people and 30-40% of this mortality rate is due to hypovolemic shock, intensified by trauma's lethal triad Hypothermia, Acidosis, and Coagulopathy. Nurses are responsible for managing fluid therapy administration in trauma victims. The purpose of this study is to analyse the reasons why intravenous fluid therapy is recommended for trauma patients' hemodynamic stabilization.Methods:
This narrative literature review included published and unpublished studies in English, Spanish or Portuguese between 1994 and January 2019. The search results were analyzed by two independent reviewers. Inclusion criteria encompasses quantitative studies involving trauma victims aged over 18 who underwent fluid therapy in a prehospital assessment context. Results andDiscussion:
11 quantitative studies were included. 9 involved the use of fluid therapy for hypotension treatment and 2 of the studies analyzed involved the use of warmed fluid therapy for hypothermia treatment. The analysis performed reveals that the administration of aggressive fluid therapy seems to be responsible for the worsening of the lethal triad. In the presence of traumatic brain injury, permissive hypotension is not allowed due to the negative impact on cerebral perfusion pressure. Used as warming measure, warmed fluid therapy does not seem to have a significant impact on body temperature.Conclusions:
There is no consensus regarding the administration of fluid therapy to trauma patients. This conclusion clearly supports the need to develop more randomized controlled trials in order to understand the effectiveness of such measure when it comes to control hypovolemia and hypothermiaRESUMEN
No disponible
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Traumatismo Múltiplo
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Hipovolemia
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Desidratação
/
Hidratação
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Hipotermia
Limite:
Humanos
Idioma:
Inglês
Revista:
Rev. Rol enferm
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centro Hospitalar Tondela Viseu/Portugal
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Centro Hospitalar Universitário do Algarve/Portugal
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Nursing School of Porto/Portugal
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Polytechnic Institute of Leiria/Portugal
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Superior Health School of Viseu/Portugal
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University of Porto/Portugal