Professional paper

Treatment of haemorrhagic shock: a case report

KRISTINA MEDVED ; Department of Anesthesia, Reanimatology and Intensive Care, Clinical hospital Merkur, Zagreb
NATAŠA VIŠKOVIĆ FILIPČIĆ
DAMIRA VUKIČEVIĆ
MARKO OREŠKI

Abstract

Te aim of this case report is to demonstrate
that during extensive and long-lasting
mutilating operations it is necessary
to use an aggressive volume replacing approach
to maintain adequate tissue oxygenation.
A satisfactory level of tissue oxygenation
is necessary to uphold the function and
structure of cells, tissue and organs. Monitoring
the haemodynamic function during
the operation is an important task for the
anaesthesiologist.
We present a case of a 58-year-old woman
with widespread malignant disease, who
underwent surgical treatment in our hospital.
Te operation was mutilating and longlasting.
During the perioperative period
the patient received a large volume of fuids
and blood products due to extensive
intraoperative blood loss. High doses of
vasoactive drugs were also introduced to
achieve haemodynamic stability.
Due to adequate and aggressive volume
replacement, haemodynamic stability was
eventually achieved and the outcome was
benefcial for our patient.

Keywords

haemodynamic stability; blood loss; volume replacement

Hrčak ID:

195371

URI

https://hrcak.srce.hr/195371

Publication date:

1.3.2018.

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