Abstract：
:The concept of permissive hypotension is a controversial topic in trauma care. While driving blood pressure to "normal" levels with large volume crystalloid infusions is not appropriate, definitive data on the target blood pressure for hypotensive resuscitation are lacking. Indeed, the concept of systolic blood pressure as a marker for resuscitation is arguable. In this case presentation, a panel of experts in trauma resuscitation discusses the merits and limitations of hypotensive resuscitation in the context of a patient who has sustained multiple injuries, including a head injury. The controversies highlighted herein call attention to the role of the intensivist in managing a continuing resuscitation while coordinating the care of other physicians whose therapies can run at cross-purposes to one another. The challenges of the practice of critical care in the 21st century are no more apparent than in the care of a complex trauma patient.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Tobin JM,Dutton RP,Pittet JF,Sharma Ddoi
10.1016/j.jcrc.2013.11.017subject
Has Abstractpub_date
2014-04-01 00:00:00pages
313.e1-5issue
2eissn
0883-9441issn
1557-8615pii
S0883-9441(13)00454-1journal_volume
29pub_type
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