Review article
https://doi.org/10.26800/LV-145-supl4-1
Perioperative optimization of fluid and coagulation status in polytrauma patients
Ivan Bandić
; Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica Dubrava, Zagreb
Jasminka Peršec
Abstract
The complexity and variety of polytrauma conditions make these patients extremely complex for proper care. Complexity is conditioned by the acuteness of treating polytraumatized patients, but also by the accuracy of their care, because deficiencies in both aspects lead to prolonged treatment and reduced success. Since it has been proven that the mortality of polytraumatized patients is higher due to intraoperative metabolic failure than due to the incompleteness of surgical care, the initial surgical procedures aim to normalize the patient’s physiology and prevent the creation of a new, pathological homeostasis, through damage control surgical procedures. Postoperative care of patients in intensive care units is extremely important, and today’s perspectives, individualization of medical care and targeting of volume therapy and correction of coagulation disorders are changing previously unified and generalized procedures. In doing so, it was shown that more detailed monitoring of the patient’s volume status and monitoring of the coagulation status using viscoelastic tests can greatly speed up and improve patient care, both intraoperatively during the first damage control procedure, and in intensive care units after and in preparation for definitive surgical procedures.
Keywords
POLYTRAUMA; DEFINITIVE SURGERY; VOLUME RESUSCITATION; VISCOELASTIC COAGULATION TESTING
Hrčak ID:
310020
URI
Publication date:
20.11.2023.
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