FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2017580135> ?p ?o ?g. }

• W2017580135 endingPage "56" @default.
• W2017580135 startingPage "51" @default.
• W2017580135 abstract "Large volume fluid resuscitation attempting to normalise physiological parameters in hypovolaemic shock has become the accepted management practice during the last 30 years. This doctrine, based on research in the 1950s, teaches that shock increases mortality, aggressive resuscitation improves outcome and normalisation of vital signs protects against multiple organ dysfunction. The wide acceptance of this doctrine is demonstrated by the central role it plays in the American College of Surgeons Advanced Trauma Life Support (ATLS) course and its Australian equivalent the Early Management of Severe Trauma (EMST) course. During the late 1980s, a number of animal research papers demonstrated severe limitations to the earlier work performed in the 1950s and proposed an alternative approach using hypotense or minimal fluid resuscitation. Controlled haemorrhagic shock is hypovolaemic shock in which the source of the bleeding is easily controlled without operation and hence aggressive fluid resuscitation can be pursued with minimum risk. Uncontrolled haemorrhagic shock is hypovolaemic shock due to bleeding which cannot be controlled without surgery. The restoration of blood pressure towards normal levels may lead to dislodgement of thrombus and loss of vascular spasm in damaged vessels, with a subsequent increase in blood loss. It is in this situation that hypotense resuscitation is thought to be of most value. Hypotense resuscitation is defined as the use of fluid resuscitation to maintain blood pressure at lower than normal levels which are sufficient to maintain life, but minimise the risk of exacerbating internal bleeding. Prompted by animal research a number of human studies have been undertaken to clarify the role of fluid resuscitation in uncontrolled haemorrhage. At present, there is wide acceptance of the use of hypotense or minimal volume resuscitation for ruptured abdominal aortic aneurysm and a recent demonstration that morbidity and mortality are decreased by the use of hypotense resuscitation in penetrating truncal trauma. There are however many other clinical situations that may produce uncontrolled haemorrhagic shock about which we have little clinical data to predict appropriate levels of fluid resuscitation. These include ectopic pregnancy, gastro-intestinal haemorrhage and blunt multi-system trauma. This paper will analyse the animal studies that demonstrate the physiological effects of the various fluid resuscitation regimes and discuss all the clinical papers on the subject of hypotense resuscitation. An attempt will then be made to integrate this data into current Australian practice and give broad guidelines on the modern management of uncontrolled haemorrhagic shock, based on minimal volume or hypotense resuscitation." @default.
• W2017580135 created "2016-06-24" @default.
• W2017580135 creator A5042447900 @default.
• W2017580135 date "2009-08-26" @default.
• W2017580135 modified "2023-09-25" @default.
• W2017580135 title "Minimal volume, hypotense resuscitation" @default.
• W2017580135 cites W111681621 @default.
• W2017580135 cites W1971777262 @default.
• W2017580135 cites W1987856871 @default.
• W2017580135 cites W1990784591 @default.
• W2017580135 cites W1998963183 @default.
• W2017580135 cites W2008363233 @default.
• W2017580135 cites W2010094703 @default.
• W2017580135 cites W2012918521 @default.
• W2017580135 cites W2049932989 @default.
• W2017580135 cites W2067980577 @default.
• W2017580135 cites W2077289413 @default.
• W2017580135 cites W2084415677 @default.
• W2017580135 cites W2088117829 @default.
• W2017580135 cites W2095987665 @default.
• W2017580135 cites W2158220069 @default.
• W2017580135 cites W2166891283 @default.
• W2017580135 cites W2324829729 @default.
• W2017580135 cites W4248769541 @default.
• W2017580135 cites W2061713049 @default.
• W2017580135 doi "https://doi.org/10.1111/j.1442-2026.1996.tb00543.x" @default.
• W2017580135 hasPublicationYear "2009" @default.
• W2017580135 type Work @default.
• W2017580135 sameAs 2017580135 @default.
• W2017580135 citedByCount "0" @default.
• W2017580135 crossrefType "journal-article" @default.
• W2017580135 hasAuthorship W2017580135A5042447900 @default.
• W2017580135 hasConcept C126322002 @default.
• W2017580135 hasConcept C141071460 @default.
• W2017580135 hasConcept C177713679 @default.
• W2017580135 hasConcept C178853913 @default.
• W2017580135 hasConcept C195646399 @default.
• W2017580135 hasConcept C2778165595 @default.
• W2017580135 hasConcept C2781300812 @default.
• W2017580135 hasConcept C37557685 @default.
• W2017580135 hasConcept C42219234 @default.
• W2017580135 hasConcept C71924100 @default.
• W2017580135 hasConcept C84393581 @default.
• W2017580135 hasConceptScore W2017580135C126322002 @default.
• W2017580135 hasConceptScore W2017580135C141071460 @default.
• W2017580135 hasConceptScore W2017580135C177713679 @default.
• W2017580135 hasConceptScore W2017580135C178853913 @default.
• W2017580135 hasConceptScore W2017580135C195646399 @default.
• W2017580135 hasConceptScore W2017580135C2778165595 @default.
• W2017580135 hasConceptScore W2017580135C2781300812 @default.
• W2017580135 hasConceptScore W2017580135C37557685 @default.
• W2017580135 hasConceptScore W2017580135C42219234 @default.
• W2017580135 hasConceptScore W2017580135C71924100 @default.
• W2017580135 hasConceptScore W2017580135C84393581 @default.
• W2017580135 hasLocation W20175801351 @default.
• W2017580135 hasOpenAccess W2017580135 @default.
• W2017580135 hasPrimaryLocation W20175801351 @default.
• W2017580135 hasRelatedWork W1507089038 @default.
• W2017580135 hasRelatedWork W1528942968 @default.
• W2017580135 hasRelatedWork W1966172124 @default.
• W2017580135 hasRelatedWork W1971298489 @default.
• W2017580135 hasRelatedWork W1992264229 @default.
• W2017580135 hasRelatedWork W2033122351 @default.
• W2017580135 hasRelatedWork W2044482350 @default.
• W2017580135 hasRelatedWork W2065454531 @default.
• W2017580135 hasRelatedWork W2095987665 @default.
• W2017580135 hasRelatedWork W2168712593 @default.
• W2017580135 hasRelatedWork W2303668554 @default.
• W2017580135 hasRelatedWork W2510890643 @default.
• W2017580135 hasRelatedWork W2548331450 @default.
• W2017580135 hasRelatedWork W2802148991 @default.
• W2017580135 hasRelatedWork W2802431840 @default.
• W2017580135 hasRelatedWork W2805403795 @default.
• W2017580135 hasRelatedWork W2908587751 @default.
• W2017580135 hasRelatedWork W2996645542 @default.
• W2017580135 hasRelatedWork W3006506959 @default.
• W2017580135 hasRelatedWork W62918146 @default.
• W2017580135 hasVolume "8" @default.
• W2017580135 isParatext "false" @default.
• W2017580135 isRetracted "false" @default.
• W2017580135 magId "2017580135" @default.
• W2017580135 workType "article" @default.