Limit Crystalloid Resuscitation after Traumatic Brain Injury

Patients with traumatic brain injury (TBI) are often resuscitated with crystalloids in the emergency department (ED) to maintain cerebral perfusion. The purpose of this study was to evaluate whether crystalloid resuscitation volume impacts mortality in TBI patients. This was a retrospective study of...

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Bibliographic Details
Published in:The American surgeon 2017-12, Vol.83 (12), p.1447-1452
Main Authors: Ko, Ara, Harada, Megan Y., Barmparas, Galinos, Smith, Eric J. T., Birch, Kurtis, Barnard, Zachary R., Yim, Dorothy A., Ley, Eric J.
Format: Article
Language:English
Subjects:
Age
Blood pressure
Brain
Coma
Emergency medical services
Fluids
Gender
Head injuries
Injury analysis
Injury prevention
Mortality
Patients
Perfusion
Regression analysis
Resuscitation
Systematic review
Trauma
Trauma centers
Traumatic brain injury
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Description
Summary:Patients with traumatic brain injury (TBI) are often resuscitated with crystalloids in the emergency department (ED) to maintain cerebral perfusion. The purpose of this study was to evaluate whether crystalloid resuscitation volume impacts mortality in TBI patients. This was a retrospective study of trauma patients with head abbreviated injury scale score ≥2, who received crystalloids during ED resuscitation between 2004 and 2013. Clinical characteristics and volume of crystalloids received in the ED were collected. Patients who received
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481708301234