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Intensive Care for Emergency SurgeonsShock, Resuscitation, and Fluid Therapy Strategies in Acute Care Surgery: From Pathophysiology to Practice

Intensive Care for Emergency Surgeons: Shock, Resuscitation, and Fluid Therapy Strategies in... [Hypovolemia and shock are commonly encountered by acute care surgeons caring for the critically ill. In addition to the shock associated with many surgical conditions, a number of interventions potentiate hypovolemia and/or contribute to the inflammatory and immune dysregulation common to shock states. By understanding oxygen kinetics, the cellular response to dysoxia, and fluid physiology, the surgeon can more readily identify shock, restore homeostasis and provide patients with the best chances of achieving optimal outcomes. Over the last few decades, the strategies that guide the care of patients with hypovolemia, septic shock, and hemorrhagic shock have dramatically changed. Therefore, this chapter also presents the evolution of and evidence for modern fluid resuscitation strategies and offers pragmatic approaches to goal-directed fluid therapy.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Intensive Care for Emergency SurgeonsShock, Resuscitation, and Fluid Therapy Strategies in Acute Care Surgery: From Pathophysiology to Practice

Part of the Hot Topics in Acute Care Surgery and Trauma Book Series
Editors: Picetti, Edoardo; Pereira, Bruno M.; Razek, Tarek; Narayan, Mayur; Kashuk, Jeffry L.
Stewart, Barclay T.; Maier, Ronald V.
Intensive Care for Emergency Surgeons — May 30, 2019
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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-11829-7
Pages
145 –179
DOI
10.1007/978-3-030-11830-3_9
Publisher site
See Chapter on Publisher Site

Abstract

[Hypovolemia and shock are commonly encountered by acute care surgeons caring for the critically ill. In addition to the shock associated with many surgical conditions, a number of interventions potentiate hypovolemia and/or contribute to the inflammatory and immune dysregulation common to shock states. By understanding oxygen kinetics, the cellular response to dysoxia, and fluid physiology, the surgeon can more readily identify shock, restore homeostasis and provide patients with the best chances of achieving optimal outcomes. Over the last few decades, the strategies that guide the care of patients with hypovolemia, septic shock, and hemorrhagic shock have dramatically changed. Therefore, this chapter also presents the evolution of and evidence for modern fluid resuscitation strategies and offers pragmatic approaches to goal-directed fluid therapy.]

Published: May 30, 2019

Keywords: Shock; Resuscitation; Fluids; Crystalloid; Colloid; Electrolytes; Hypovolemia; Sepsis; Hemorrhagic shock

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