Fluid Resuscitation and Massive Transfusion Protocol in Pediatric Trauma

Trauma is the leading cause of morbidity and mortality in children due to the occurrence of hemorrhagic shock. Hemorrhagic shock and its consequences, anemia and hypovolemia, decrease oxygen delivery, due to which appropriate transfusion and volume resuscitation are critical. Guidelines for massive...

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Bibliographic Details
Published in:Acta Facultatis Medicae Naissensis 2016-06, Vol.33 (2), p.91-99
Main Authors: Marjanovic, Vesna, Budic, Ivana
Format: Article
Language:English
Subjects:
fluid resuscitation
massive transfusion protocol
pediatric trauma
Online Access:Get full text
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Summary:Trauma is the leading cause of morbidity and mortality in children due to the occurrence of hemorrhagic shock. Hemorrhagic shock and its consequences, anemia and hypovolemia, decrease oxygen delivery, due to which appropriate transfusion and volume resuscitation are critical. Guidelines for massive transfusion, in the pediatric trauma, have not been defined yet. Current data indicate that early identification of coagulopathy and its treatment with RBSs, plasma and platelets in a 1:1:1 unit ratio, and limited use of crystalloids may improve survival in pediatric trauma patients.
ISSN:2217-2521
0351-6083
2217-2521
DOI:10.1515/afmnai-2016-0010