当前位置： SCI文献检索 > Medicina Intensiva期刊下所有文献 > [Treatment alternatives in massive hemorrhage].

[Treatment alternatives in massive hemorrhage].

Abstract：

:Massive hemorrhage is the main cause of mortality and morbidity in trauma patients, and is one of the most important causes in any patient following major surgery. Conventional treatment consists of volume replacement, including the transfusion of blood products, so that tissue perfusion and oxygenation may be maintained. Associated hypothermia, acidosis and coagulopathy is a lethal triad. This review focuses on the latest therapeutic management of massive hemorrhage. The authors advocate the use of crystalloids as per protocol (controlled volumes) in order to achieve a systolic blood pressure of 85mmHg. The administration of the three blood products (red cells, plasma, and platelets) should be on a 1:1:1 basis. Where possible, this in turn should be guided by thromboelastography performed at point of care near the patient. Coagulopathy can occur early and late. With the exception of tranexamic acid, the cost-benefit relationships of the hemostatic agents, such as fibrinogen, prothrombin complex, and recombinant F VII, are subject to discussion.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Fernández-Hinojosa E,Murillo-Cabezas F,Puppo-Moreno A,Leal-Noval SR

doi

10.1016/j.medin.2011.11.010

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

496-503

issue

7

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(11)00317-2

journal_volume

36

pub_type

杂志文章,评审

相关文献

Medicina Intensiva文献大全
  • [Location of the central venous catheter tip in the right atrium: description in 2348 critical patients].

    abstract：OBJECTIVE:to document possible complications related to the location of central venous catheter (CVC) tip in the right atrium (RA) in two medical-surgical intensive care units (ICU). DESIGN:An observational, retrospective study of critically ill patients. SETTING:two medical-surgical ICUs. PATIENTS:adult patients in...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2010.07.003

    authors： Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期：2010-12-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract：OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2015.03.005

    authors： Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期：2016-04-01 00:00:00

  • [MARS (Molecular Absorbent Recirculating System) as hepatic extracorporeal care in serious acute liver failure of alcoholic etiology].

    abstract：:Acute liver failure with criteria of seriousness and alcoholic etiology is a picture of worldwide distribution, with an elevated mortality, of approximately 50%, that requires admission to the ICU. Acute serious alcoholic hepatitis is defined by a Maddrey score value > 32 and/or spontaneous encephalopathy. Together wi...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/s0210-5691(06)74556-9

    authors： Mora JM,Olmedo R,Curiel E,Muñoz J,Herrera M,Séller G

    更新日期：2006-11-01 00:00:00

  • [Severe pediatric head injuries (II): factors associated to morbidity-mortality].

    abstract：OBJECTIVE:To describe the factors associated to morbidity-mortality in pediatric patients with severe head injury (SHI). MATERIAL AND METHOD:A review was made of the patients admitted to the Pediatric Intensive Care Unit (PICU) with SHI between July 1983 and December 2009. RESULTS:Of the 389 patients with head injuri...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2011.02.006

    authors： López Álvarez JM,Valerón Lemaur ME,Pérez Quevedo O,Limiñana Cañal JM,Jiménez Bravo de Laguna A,Consuegra Llapurt E,Morón Saén de Casas A,González Jorge R

    更新日期：2011-08-01 00:00:00

  • Perioperative in Intensive Medicine of reconstructive surgery and burned patients.

    abstract：:Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to repleni...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2019.07.005

    authors： Sánchez-Sánchez M,Martínez JR,Civantos B,Millán P

    更新日期：2020-03-01 00:00:00

  • [Safety and efficacy of the MARS therapy applied by continuous renal replacement therapy (CRRT) monitors].

    abstract：OBJECTIVE:Analyze the utility and safety of MARS therapy applied with the CRRT monitor. DESIGN:Prospective study of cohorts. SCOPE:Polyvalent ICU in tertiary university hospital with hepatic transplantation program. PATIENTS:Thirty one patients: 9 (22.6%) with acute liver failure (ALF) (1 hepatic surgery, 1 primary ...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/s0210-5691(07)74841-6

    authors： Herrera-Gutiérrez ME,Seller-Pérez G,Lebrón-Gallardo M,Jiménez-Pérez M,Moreno-López JM,Muñoz-López A

    更新日期：2007-10-01 00:00:00

  • [Validation of intensive medicine degree in the United Kingdom].

    abstract：:The specialty of Intensive Care Medicine was established over twenty years ago in Spain as part of the MIR (Resident training) system. The European Union allows for free circulation of its workers and the multilateral recognition of their university degrees as well as their postgraduate training. Unfortunately, our sp...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2010.11.002

    authors： de la Cerda G,Mateo D,Tan A,Quintano A,Kovacs N

    更新日期：2011-01-01 00:00:00

  • Epidemiology and prognostic factors in severe sepsis/septic shock. Evolution over six years.

    abstract：OBJECTIVE:To determine the clinical characteristics and prognostic factors of patients with severe sepsis/septic shock admitted to the Intensive Care Unit of Donostia University Hospital (Guipuzcoa, Spain). DESIGN:A prospective, observational study was carried out during a consecutive 6-year period (1st February 2008-...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2015.01.006

    authors： Azkárate I,Choperena G,Salas E,Sebastián R,Lara G,Elósegui I,Barrutia L,Eguibar I,Salaberria R

    更新日期：2016-01-01 00:00:00

  • [Stress hyperglycemia and its control with insulin in critically ill patients: current evidence].

    abstract：OBJECTIVE:To analyze the current evidence on glycemic control with insulin therapy in the critically ill. RECENT FINDINGS:Stress hyperglycemia in critically ill patients has been associated with increased morbidity and mortality. Furthermore, current evidence suggests that glucose variability has a predictive value fo...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,评审

    doi：10.1016/j.medin.2009.10.003

    authors： Manzanares W,Aramendi I

    更新日期：2010-05-01 00:00:00

  • [Tuberculosis miliar in a patient treated with intravesical instillations of bacillus Calmette-Guérin].

    abstract：:Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatmen...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/s0210-5691(06)74485-0

    authors： Del Castillo Duran Y,Santos Bodí F,Castander Serentill D,Jubert Montaperto P,Espinosa Valencia P,Rabassó Sole C

    更新日期：2006-04-01 00:00:00

  • [Organ preservation].

    abstract：:Maintaining organ viability from extraction to transplantation is crucial to ensure the function and survival of the graft. In recent years, maintaining organ viability has become more challenging because the shortage of donors has led to broader criteria for donor acceptability and consequently to organs with greater...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/S0210-5691(09)72196-5

    authors： Cobo JL,Del Río Gallegos F

    更新日期：2009-08-01 00:00:00

  • [Does decompressive craniectomy improve other parameters besides ICP? Effects of the decompressive craniectomy on tissular pressure?].

    abstract：:Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintain...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2010.09.011

    authors： Lubillo S,Blanco J,López P,Domínguez J,Ruiz C,Molina I,Morera J

    更新日期：2011-04-01 00:00:00

  • Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit.

    abstract：OBJECTIVE:To identify factors related to mortality in adult trauma patients, analyzing the clinical, epidemiological and therapeutic characteristics at the pre-hospital levels, in the Emergency Care Department and in Intensive Care. DESIGN:A retrospective, longitudinal descriptive study was carried out. Statistical an...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2014.06.004

    authors： González-Robledo J,Martín-González F,Moreno-García M,Sánchez-Barba M,Sánchez-Hernández F

    更新日期：2015-10-01 00:00:00

  • Innovation and technology transfer in the health sciences: a cross-sectional perspective.

    abstract：:This article is based on the strategic reflection and discussion that took place on occasion of the first conference on innovation and technology transfer in the health sciences organized by the REGIC-ENS-FENIN-SEMICYUC and held in Madrid in the Instituto de Salud Carlos III on May 7th, 2013, with the aim of promoting...

    journal_title：Medicina intensiva

    pub_type：

    doi：10.1016/j.medin.2014.04.012

    authors： Blanch L,Guerra L,Lanuza A,Palomar G

    更新日期：2014-11-01 00:00:00

  • Brain death organ donation potential and life support therapy limitation in neurocritical patients.

    abstract：OBJECTIVE:To analyze the profile, incidence of life support therapy limitation (LSTL) and donation potential in neurocritical patients. STUDY DESIGN:A multicenter prospective study was carried out. SETTING:Nine hospitals authorized for organ harvesting for transplantation. PATIENTS:All patients consecutively admitte...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.medin.2014.07.010

    authors： Bodí MA,Pont T,Sandiumenge A,Oliver E,Gener J,Badía M,Mestre J,Muñoz E,Esquirol X,Llauradó M,Twose J,Quintana S

    更新日期：2015-08-01 00:00:00

  • [Clinical consensus recommendations regarding non-invasive respiratory support in the adult patient with acute respiratory failure secondary to SARS-CoV-2 infection].

    abstract：:Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the mana...

    journal_title：Medicina intensiva

    pub_type： 共识发展会议,杂志文章,实务指引

    doi：10.1016/j.medin.2020.03.005

    authors： Cinesi Gómez C,Peñuelas Rodríguez Ó,Luján Torné M,Egea Santaolalla C,Masa Jiménez JF,García Fernández J,Carratalá Perales JM,Heili-Frades SB,Ferrer Monreal M,de Andrés Nilsson JM,Lista Arias E,Sánchez Rocamora JL,Garrote JI,Zam

    更新日期：2020-10-01 00:00:00

  • TLR2-TLR4/CD14 polymorphisms and predisposition to severe invasive infections by Neisseria meningitidis and Streptococcus pneumoniae.

    abstract：PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2013.08.006

    authors： Tellería-Orriols JJ,García-Salido A,Varillas D,Serrano-González A,Casado-Flores J

    更新日期：2014-08-01 00:00:00

  • [Results of an artificial airway management protocol in critical patients subjected to mechanical ventilation].

    abstract：OBJECTIVE:To determine the results of the implementation of a protocol in an intensive care unit (ICU) referred to critically ill patients requiring a prolonged artificial airway. DESIGN:A prospective, observational cohort study was carried out. INTERVENTION:Management strategies were established on the airway by end...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2012.07.003

    authors： Prieto-González M,López-Messa JB,Moradillo-González S,Franzón-Laz ZM,Ortega-Sáez M,Poncela-Blanco M,Alonso-Castañeira I,Andrés-de Llano J

    更新日期：2013-08-01 00:00:00

  • Effect upon mortality of the extension to holidays and weekends of the "ICU without walls" project. A before-after study.

    abstract：OBJECTIVE:To determine whether extension to holidays and weekends of the protocol for the early proactive detection of severity in hospital ("ICU without walls" project) results in decreased mortality among patients admitted to the ICU during those days. DESIGN:A quasi-experimental before-after study was carried out. ...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2015.09.001

    authors： Abella A,Enciso V,Torrejón I,Hermosa C,Mozo T,Molina R,Janeiro D,Díaz M,Homez M,Gordo F,Salinas I

    更新日期：2016-06-01 00:00:00

  • Gender gap in medical care in ST segment elevation myocardial infarction networks: Findings from the Catalan network Codi Infart.

    abstract：OBJECTIVE:To assess the impact of gender upon the prognosis and medical care in a regional acute ST-elevation myocardial infarction management network. DESIGN:An observational study was made of consecutive patients entered in a prospective database. SCOPE:The Catalan acute ST-elevation myocardial infarction managemen...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.medin.2016.06.008

    authors： Fernández-Rodríguez D,Regueiro A,Cevallos J,Bosch X,Freixa X,Trilla M,Brugaletta S,Martín-Yuste V,Sabaté M,Bosa-Ojeda F,Masotti M,en representación de los investigadores del Registro Codi Infart.

    更新日期：2017-03-01 00:00:00

  • Temporary internal pacing.

    abstract：:Technology and insertion techniques for cardiac temporary internal pacing have experienced a remarkable development over the last few years. Despite this fact, the procedure continues to have potentially fatal associated complications. Temporary internal pacing is indicated for the treatment of bradyarrhythmias or tac...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2014.02.006

    authors： Ortiz Díaz-Miguel R,Gómez Grande ML

    更新日期：2014-12-01 00:00:00

  • [Invasive pulmonary aspergillosis in a hematooncological patient in the intensive care units. A review of the literature].

    abstract：:Invasive aspergillosis is a common condition in patients with hematologic malignancies. Symptoms are extremely non-specific, and therefore it is necessary to be familiar with the diagnostic tests for early diagnosis. This review has attempted to clarify the current evidence regarding the following areas: clinical pres...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,评审

    doi：10.1016/j.medin.2009.11.010

    authors： Burghi G,Lemiale V,Bagnulo H,Bódega E,Azoulay E

    更新日期：2010-10-01 00:00:00

  • [Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation

    abstract：:The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of ...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2020.05.002

    authors： Martín Delgado MC,Avilés-Jurado FX,Álvarez Escudero J,Aldecoa Álvarez-Santuyano C,de Haro López C,Díaz de Cerio Canduela P,Ferrandis Perepérez E,Ferrando Ortolá C,Ferrer Roca R,Hernández Tejedor A,López Álvarez F,Monedero Rodríguez

    更新日期：2020-11-01 00:00:00

  • [A prospective, observational severe sepsis/septic shock registry in a tertiary hospital in the province of Guipuzcoa (Spain)].

    abstract：OBJECTIVE:To determine the epidemiological and clinical characteristics of the patients with severe sepsis/septic shock admitted to the ICU of Donostia Hospital (Guipuzcoa, Spain), analyzing the prognostic factors and comparing them with the existing data at national level. DESIGN:A prospective observational study was...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2011.10.006

    authors： Azkárate I,Sebastián R,Cabarcos E,Choperena G,Pascal M,Salas E

    更新日期：2012-05-01 00:00:00

  • [Thrombolysis in cardiac arrest].

    abstract：:Both acute myocardial infarction and pulmonary thromboembolism are responsible for a great number of cardiac arrests. Both present high rates of mortality. Thrombolysis has proved to be an effective treatment for acute myocardial infarction and pulmonary thromboembolism with shock. It would be worth considering whethe...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,评审

    doi：10.1016/s0210-5691(06)74470-9

    authors： Ruiz Bailén M,Rucabado Aguilar L,Morante Valle A,Castillo Rivera A

    更新日期：2006-03-01 00:00:00

  • [Use of neuromuscular blockers in the critical patient].

    abstract：:The use of neuromuscular blockers (NMB) is a frequent practice in Intensive Care Units. However most of the experience with the use of these agents come from the operating room used to deal with patients with different characteristics from those admitted in the ICU. Recent advances on neuromonitoring and the commercia...

    journal_title：Medicina intensiva

    pub_type： 杂志文章,评审

    doi：

    authors： Sandiumenge A,Anglés R,Martínez-Melgar JL,Torrado H,Grupo de Trabajo de Analgesia y Sedación de la SEMICYUC.

    更新日期：2008-02-01 00:00:00

  • [Liver transplantation: influence of donor-related factors].

    abstract：OBJECTIVE:To detect donor characteristics related to graft function after orthotopic liver transplantation (OLT). DESIGN:Retrospective cohort study. CONTEXT:Polyvalent intensive care unit. PATIENTS:145 liver transplant recipients and their respective donors. INTERVENTIONS:None. MAIN VARIABLES OF INTEREST:In donors...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/s0210-5691(08)75708-5

    authors： Seller-Pérez G,Herrera-Gutiérrez ME,Lebrón-Gallardo M,Moreno-Quintana J,Banderas-Bravo E,Quesada-García G

    更新日期：2008-11-01 00:00:00

  • [Absence of benefit with triple antiaggregation in acute non persistent ST segment elevation myocardial infarction in patients not subjected to early interventionism].

    abstract：OBJECTIVE:To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING:Intensive Care and Coronary Unit (ICCU), in a center with no Hemody...

    journal_title：Medicina intensiva

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0210-5691(07)74801-5

    authors： Blancas Gómez-Casero R,Nevado Losada E,López Matamala B,Martínez Díaz C,Serrano Castañeda J,Yáñez Parareda E,González Manzanares JL,Chana García M,Martín Delgado C

    更新日期：2007-05-01 00:00:00

  • Efficacy of an extravascular lung water-driven negative fluid balance protocol.

    abstract：OBJECTIVE:To analyze the efficacy of negative fluid balance in hypoxemic patients with an elevated extravascular lung water index (EVLWI). DESIGN:A retrospective observational study was made. SETTING:Intensive Care Unit of Virgen de las Nieves Hospital (Spain). PARTICIPANTS:Forty-four patients participated in the st...

    journal_title：Medicina intensiva

    pub_type： 杂志文章

    doi：10.1016/j.medin.2014.07.008

    authors： Díaz-Rubia L,Ramos-Sáez S,Vázquez-Guillamet R,Guerrero-López F,Pino-Sánchez F,García-Delgado M,Gómez-Jiménez FJ,Fernández-Mondéjar E

    更新日期：2015-08-01 00:00:00

  • The American-European Consensus Conference definition of the acute respiratory distress syndrome is dead, long live positive end-expiratory pressure!

    abstract：:In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation de...

    journal_title：Medicina intensiva

    pub_type： 共识发展会议,杂志文章

    doi：10.1016/j.medin.2012.08.010

    authors： Villar J,Kacmarek RM

    更新日期：2012-11-01 00:00:00