Strategies for Intravenous Fluid Resuscitation in Trauma Patients

Robert Wise; Michael Faurie; Manu L N G Malbrain; Eric Hodgson

doi:10.1007/s00268-016-3865-7

Strategies for Intravenous Fluid Resuscitation in Trauma Patients

World J Surg. 2017 May;41(5):1170-1183. doi: 10.1007/s00268-016-3865-7.

Authors

Robert Wise^{1

2

3}, Michael Faurie⁴, Manu L N G Malbrain⁵, Eric Hodgson^{6

7}

Affiliations

¹ Pietermaritzburg Metropolitan Department of Anaesthetics, Critical Care and Pain Management, Pietermaritzburg, South Africa. [email protected].
² Head Clinical Unit, Critical Care, Edendale Hospital, Pietermaritzburg, South Africa. [email protected].
³ Discipline of Anaesthesia and Critical Care, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. [email protected].
⁴ Trauma and Critical Care Fellow, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.
⁵ Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, Lange Beeldekensstraat 267, 2060, Antwerpen 6, Belgium.
⁶ Discipline of Anaesthesia and Critical Care, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
⁷ Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

Abstract

Intravenous fluid management of trauma patients is fraught with complex decisions that are often complicated by coagulopathy and blood loss. This review discusses the fluid management in trauma patients from the perspective of the developing world. In addition, the article describes an approach to specific circumstances in trauma fluid decision-making and provides recommendations for the resource-limited environment.

Publication types

Review

MeSH terms

Blood Coagulation Disorders / etiology
Clinical Decision-Making
Developing Countries*
Fluid Therapy / methods*
Hemorrhage / etiology*
Humans
Infusions, Intravenous
Resuscitation / methods*
Wounds and Injuries / complications
Wounds and Injuries / therapy*