Hämorrhagischer Schock: Allgemeine Therapieprinzipien
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Hämorrhagischer Schock: Allgemeine Therapieprinzipien. / Eiben, T I; Fuhrmann, V; Saugel, B; Kluge, S.
In: INTERNIST, Vol. 58, No. 3, 03.2017, p. 207-217.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Hämorrhagischer Schock: Allgemeine Therapieprinzipien
AU - Eiben, T I
AU - Fuhrmann, V
AU - Saugel, B
AU - Kluge, S
PY - 2017/3
Y1 - 2017/3
N2 - Bleeding associated with hemorrhagic shock is often seen in emergency medical services or in the intensive care unit. Identifying the origin of the bleeding and additional disorders helps to determine the degree of the hemorrhagic shock. In order to be effective, the initial therapy until blood products are available needs to be differentiated to be effective in terms of hemodynamic stabilization and coagulation. Crystalloidal and colloidal solutions should be used carefully since those solutions bear a risk within themselves. Treatment of acidosis and hypothermia can further reduce bleeding complications. Early and repeated monitoring of clotting should be performed simultaneously to shock therapy to permit specific treatment and substitution of coagulation factors if needed. Hemorrhagic shock therapy should be continued until bleeding is stopped.
AB - Bleeding associated with hemorrhagic shock is often seen in emergency medical services or in the intensive care unit. Identifying the origin of the bleeding and additional disorders helps to determine the degree of the hemorrhagic shock. In order to be effective, the initial therapy until blood products are available needs to be differentiated to be effective in terms of hemodynamic stabilization and coagulation. Crystalloidal and colloidal solutions should be used carefully since those solutions bear a risk within themselves. Treatment of acidosis and hypothermia can further reduce bleeding complications. Early and repeated monitoring of clotting should be performed simultaneously to shock therapy to permit specific treatment and substitution of coagulation factors if needed. Hemorrhagic shock therapy should be continued until bleeding is stopped.
U2 - 10.1007/s00108-017-0192-5
DO - 10.1007/s00108-017-0192-5
M3 - SCORING: Zeitschriftenaufsatz
C2 - 28184956
VL - 58
SP - 207
EP - 217
JO - INTERNIST
JF - INTERNIST
SN - 0020-9554
IS - 3
ER -
