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2006, Número 1

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Trauma 2006; 9 (1)


Sugerencias acerca de los objetivos finales en la resucitación del paciente exanguinado por trauma

García-Núñez LM, Padilla SR, Lever RCD, Cabello PR, Mendoza ÁLA, Gómez GMA

Idioma: Español
Referencias bibliográficas: 33
Paginas: 12-20
Archivo PDF: 78.75 Kb.


RESUMEN

La exanguinación es el grado extremo del choque hipovolémico. Las variables hemodinámicas no son un elemento confiable para ser consideradas como objetivo final de la resucitación. Considerándolas como tal, 80-85% de los pacientes con pérdidas significativas de volumen debido a sangrado postraumático estarán infra-resucitados. La tecnología actual provee de elementos que pudie ran ser considerados como objetivos finales de la resucitación, pero muchos de ellos son caros, invasivos, de difícil empleo o no han sido validados. El lactato sérico es una herramienta valiosa para ser considerada como punto final de la resucitación, por ser de fácil disponibilidad y determinación, y haber sido validado en grandes series como un parámetro que se correlaciona con los resultados tras el esfuerzo de la reanimación.


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