Hypotensive Resuscitation in Patients with Ruptured Abdominal Aortic Aneurysm

The technique of hypotensive resuscitation in haemorrhagic shock involves resuscitation to below normotensive blood pressures achieving the minimum perfusion pressure that will adequately perfuse vital organs until definitive arrest of haemorrhage. To summarise the evidence for the use of hypotensiv...

Full description

Saved in:
Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2006-04, Vol.31 (4), p.339-344
Main Authors: Roberts, K., Revell, M., Youssef, H., Bradbury, A.W., Adam, D.J.
Format: Article
Language:English
Subjects:
Aneurysm, Ruptured - complications
Animals
Aortic Aneurysm, Abdominal - complications
Fluid Therapy - methods
Humans
Hypotension - etiology
Hypotension - therapy
Hypotensive resuscitation
Models, Animal
Resuscitation - methods
Ruptured aortic aneurysm
Shock, Hemorrhagic - etiology
Shock, Hemorrhagic - therapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The technique of hypotensive resuscitation in haemorrhagic shock involves resuscitation to below normotensive blood pressures achieving the minimum perfusion pressure that will adequately perfuse vital organs until definitive arrest of haemorrhage. To summarise the evidence for the use of hypotensive resuscitation in patients with uncontrolled haemorrhagic shock and ruptured abdominal aortic aneurysm (AAA). A MEDLINE (1966–2004) and Cochrane library search for articles relating to hypotensive resuscitation was undertaken; see text for further details. Several animal studies exist using an abdominal aortotomy model of ruptured AAA. These have demonstrated improved tissue perfusion, decreased blood loss and improved survival associated with hypotensive resuscitation compared with aggressive resuscitation. There are several human studies advocating delayed rather than immediate resuscitation in trauma patients but careful review of the literature reveals no prospective studies of hypotensive resuscitation in patients with ruptured AAA. Animal studies demonstrate superiority of hypotensive resuscitation over aggressive resuscitation but further research is required to assess its efficacy in patients with ruptured AAA.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2005.11.003