Document Detail

Resuscitation in acute haemorrhage.
MedLine Citation:
PMID:  6517268     Owner:  NLM     Status:  MEDLINE    
While some of the details of resuscitation of the bleeding patient remain contentious, the basic principles are clear. Adequate resuscitation implies the prompt restoration of tissue oxygenation by achievement and maintenance of airway patency, adequate ventilation, cardiac rhythm and intravascular volume. The choice of fluid for primary resuscitation is considerably less important than the care with which it ought to be administered. The volume of fluid required for primary resuscitation varies and there is no well-defined endpoint against which to titrate fluid resuscitation. However, as the complications and mortality of shock are related to the degree and the duration of shock, definitive (usually surgical) intervention should be undertaken early if the clinical features of shock cannot be readily reversed or if the maintenance of clinically adequate perfusion cannot be achieved with the administration of less than 200 ml of fluid per hour.
R F Raper; M M Fisher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  12     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1985-02-04     Completed Date:  1985-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  212-6     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Blood Substitutes / therapeutic use
Blood Transfusion
Blood Volume
Colloids / therapeutic use
Hemorrhage / complications,  therapy*
Kidney Failure, Acute / complications
Respiratory Insufficiency / complications
Reg. No./Substance:
0/Blood Substitutes; 0/Colloids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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