Management of hemorrhagic shock when blood is not an option

Abstract Objective To describe an alternative approach to management of severe life- threatening hemorrhagic shock and the outcome when blood was not a treatment option. Design Case Report of the use of a Hemoglobin Based Oxygen Carrier (HBOC-201)when control of hemorrhage and intravenous crystalloi...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2008-11, Vol.20 (7), p.538-541
Main Authors: Mackenzie, Colin F., MB ChB, FRCA, Morrison, Chet, MD, Jaberi, Mahmood, MD, Genuit, Thomas, MD, Katamuluwa, Subishani, BS, Rodriguez, Aurelio, MD
Format: Article
Language:English
Subjects:
Abdomen
Anesthesia
Anesthesia & Perioperative Care
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood
Blood products
Blood Substitutes - therapeutic use
Blood transfusions
Bone marrow
Coagulation
Cytokines
Fractures
Hemoglobins - therapeutic use
Hemorrhagic shock
Humans
Injuries
Jehovah's Witness patients
Jehovah's Witnesses
Jehovahs Witnesses
Lactic Acid - blood
Liver
Male
Medical sciences
Multiple Trauma - therapy
Pain Medicine
Patients
Pneumothorax
Shock, Hemorrhagic - etiology
Shock, Hemorrhagic - therapy
Time Factors
Trauma
Trauma centers
Treatment Outcome
Veins & arteries
Young Adult
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Summary:Abstract Objective To describe an alternative approach to management of severe life- threatening hemorrhagic shock and the outcome when blood was not a treatment option. Design Case Report of the use of a Hemoglobin Based Oxygen Carrier (HBOC-201)when control of hemorrhage and intravenous crystalloids were unsuccessful in reversal of hemorrhagic shock and progressive ischemia. Setting Trauma Center. Patients Jehovah's Witness. Outcome Hospital discharge and 6 month follow-up uneventful.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2008.05.012