SlideShare a Scribd company logo

Fluid and blood resuscitation in abdominal trauma

•Download as PPT, PDF•
•
I
imran80

This document discusses fluid and blood resuscitation in abdominal trauma, providing guidelines for surgeons. It outlines factors related to different levels of blood loss and clinical signs of shock. It recommends using lactated Ringer's solution as the crystalloid fluid of choice and hydroxyethyl starch as the preferred colloid. Close clinical monitoring of vital signs, urine output, oxygen saturation, and bicarbonate levels is emphasized to guide fluid resuscitation and determine need for blood transfusion to maintain a hemoglobin of 7gm% or higher.

BusinessTechnology
1 of 21
“ FLUID AND BLOOD RESUSCITATION IN ABDOMINAL TRAUMA: IMPORTANT TIPS IN CLINICAL PRACTICE FOR SURGEONS ” Dr. T.C. Kriplani Professor & Head Department of Anaesthesiology NSCB Medical College JABALPUR (M.P.)
American College of Surgeons Classes of Acute Hemorrhage Factors I II III IV Blood loss <15% (<750ml) 15-30% (750-1500ml) 30-40% (1500-2000ml) >40% (>2000ml) Pulse >100 >100 >120 >140 B.P. Normal Normal ↓ ↓↓ Pulse pressure N or ↓ ↓ ↓↓ ↓↓ Capillary refill <2s 2-3s 3-4s >5s Resp. rate 14-20 20-30 30-40 >40 Urine output ml/hr 30 or more 20-30 5-10 Negligible Mental status Slightly anxious Mildly anxious Anxious & confused Confused Lethargic
 
Response to blood loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asses the loss quickly on clinical grounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If the loss is 1500-2000ml (30-40%) ,[object Object],[object Object],[object Object],[object Object]
If the loss is >2000ml(40%) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Which crystalloid is better? ,[object Object],[object Object],Crystalloid Osmolarity P H Remarks Recommendations Dextrose 5% 252 4.5 Hypotonic, glucose taken up by cells & water produces oedema. Low PH, ↑blood sugar-brain ischemia. ↑ CO2 production, ↑ lact. Production NEVER BE USED Saline 0.9% 308 (Na 154, Cl 154meq/L) 5.7 Low PH. Hyperchloraemic acidosis is produced. NOT IDEAL Saline 7.5% 2567 (Na 1283, Cl 1283) 5.7 Vol. Exp(250ml->1235ml) Interstitial & cellular dehydration. Rapid rate dangerous. NOT DESIRED Lactated Ringer’s solution 273 (Na 130, Cl 109, K 4, Ca 3, lactate 28) 6.4 Osmolarity near blood Lactate act as buffer. Converted to bicarbonate BETTER Normosol 295 (Na 140, Cl 98, K 5, Acetate 27, Mg 3) 7.4 Mg. can counteract compensatory vasoconstriction NOT DESIRED
Which colloid is better? ,[object Object],[object Object],[object Object],[object Object],[object Object],Albumin Oncotic pressure mm of Hg Vol. expansions Half life 5% 20 70-100% 16-24 hrs 20% 70 300% 16-24 hrs 25% 100 500% 16-24 hrs
Synthetic colloids ,[object Object],[object Object],[object Object]
GELATINS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DEXTRANS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DEXTRAN 40 (10%) (Lomodex, Plasmex-40) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STARCH (Hydroxy Ethyl Starch) H.E.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physiochemical properties of different H.E.S. preparations HES 70/.5 HES 130/.4 HES 200/.5 HES 200/.5 HES 450/.7 Concentration 6% 6% 6% 10% 10% Oncotic pressure mm. of Hg 30-36 36 30-37 55-60 25-30 Volume expansion 100% 100% 100% 130% 100% Half life (hrs) 1-2 2-3 3-4 3-4 5-6 Maximum dose ml/kg 33 50 33 33 20 Effect on hemostasis 0 Negligible + ++ +++
H.E.S.(Contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications of Blood Transfusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MOST IMPORTANT IS CLINICAL MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL MONITORING(Contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BEWARE OF LETHAL TRIAD ,[object Object],[object Object],[object Object]
Thanks

Recommended

Damage Control Resuscitation
Damage Control ResuscitationDamage Control Resuscitation
Damage Control Resuscitation
Sun Yai-Cheng
 
Trauma resuscitation
Trauma resuscitationTrauma resuscitation
Trauma resuscitation
SCGH ED CME
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
SCGH ED CME
 
Fluid resuscitation in trauma
Fluid resuscitation in traumaFluid resuscitation in trauma
Fluid resuscitation in trauma
KIMS
 
ATLS initial assessment 2019
ATLS initial assessment 2019ATLS initial assessment 2019
ATLS initial assessment 2019
Dr Abd Elaal Elbahnasy
 
Management of Shock in acute trauma setting
Management of Shock in acute trauma setting Management of Shock in acute trauma setting
Management of Shock in acute trauma setting
Dr.Venugopalan Poovathum Parambil
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal trauma
Sadia Asmat
 
Atls presentation
Atls presentationAtls presentation
Atls presentation
Dr. Ravi Bhushan
 

Recommended

Damage Control Resuscitation
Damage Control ResuscitationDamage Control Resuscitation
Damage Control Resuscitation
Sun Yai-Cheng
 
Trauma resuscitation
Trauma resuscitationTrauma resuscitation
Trauma resuscitation
SCGH ED CME
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
SCGH ED CME
 
Fluid resuscitation in trauma
Fluid resuscitation in traumaFluid resuscitation in trauma
Fluid resuscitation in trauma
KIMS
 
ATLS initial assessment 2019
ATLS initial assessment 2019ATLS initial assessment 2019
ATLS initial assessment 2019
Dr Abd Elaal Elbahnasy
 
Management of Shock in acute trauma setting
Management of Shock in acute trauma setting Management of Shock in acute trauma setting
Management of Shock in acute trauma setting
Dr.Venugopalan Poovathum Parambil
 
Abdominal trauma
Abdominal traumaAbdominal trauma
Abdominal trauma
Sadia Asmat
 
Atls presentation
Atls presentationAtls presentation
Atls presentation
Dr. Ravi Bhushan
 
We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma
Hon Liang
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
SCGH ED CME
 
Lethal triad case study no questions
Lethal triad case study no questionsLethal triad case study no questions
Lethal triad case study no questionsChloe Buechler
 
Fluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal ApproachFluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal Approach
Ankita Patni
 
Fluid management in surgical patients
Fluid management in surgical patientsFluid management in surgical patients
Fluid management in surgical patients
GovtRoyapettahHospit
 
Damage Control in Trauma by Brohi
Damage Control in Trauma by BrohiDamage Control in Trauma by Brohi
Damage Control in Trauma by Brohi
SMACC Conference
 
Damage Control Resuscitation
Damage Control ResuscitationDamage Control Resuscitation
Damage Control ResuscitationMazen Yazan Kherallah
 
Trauma
TraumaTrauma
Trauma
HappyFridayKnight
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapykindscorpion82
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
Sam George
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
ghadimhmd
 
Principles Of Trauma Care (2)
Principles Of Trauma Care (2)Principles Of Trauma Care (2)
Principles Of Trauma Care (2)MD Specialclass
 
Penetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency ManagementPenetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency Management
SCGH ED CME
 
Blunt Abdominal Trauma
Blunt Abdominal TraumaBlunt Abdominal Trauma
Blunt Abdominal Trauma
FaisalRawagah1
 
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.VApproach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Dr.Damodhar.M.V MBBS,CSSGB,MBA,CPHQ
 
Fluid and electrolyte management
Fluid and electrolyte managementFluid and electrolyte management
Fluid and electrolyte managementDhritiman Chakrabarti
 
Golden hour -Introduction & Literature Review
Golden hour -Introduction & Literature ReviewGolden hour -Introduction & Literature Review
Golden hour -Introduction & Literature Review
Dr.Sharad H. Gajuryal
 
Advanced trauma life support (atls)
Advanced trauma life support (atls)Advanced trauma life support (atls)
Advanced trauma life support (atls)
Adeel Riaz
 
Advanced trauma and life support (atls)
Advanced trauma and life support (atls)Advanced trauma and life support (atls)
Advanced trauma and life support (atls)anu_sandhya
 
Presentation of atls 2018
Presentation of atls 2018Presentation of atls 2018
Presentation of atls 2018
Novel Pokharel
 
Reversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral HemorrhageReversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral Hemorrhage
perezjohnangelo
 
Upper gi bleeding
Upper gi bleedingUpper gi bleeding
Upper gi bleeding
Be a Good Doctor Ali Dirie
 

More Related Content

What's hot

We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma
Hon Liang
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
SCGH ED CME
 
Lethal triad case study no questions
Lethal triad case study no questionsLethal triad case study no questions
Lethal triad case study no questionsChloe Buechler
 
Fluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal ApproachFluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal Approach
Ankita Patni
 
Fluid management in surgical patients
Fluid management in surgical patientsFluid management in surgical patients
Fluid management in surgical patients
GovtRoyapettahHospit
 
Damage Control in Trauma by Brohi
Damage Control in Trauma by BrohiDamage Control in Trauma by Brohi
Damage Control in Trauma by Brohi
SMACC Conference
 
Trauma
TraumaTrauma
Trauma
HappyFridayKnight
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
Sam George
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
ghadimhmd
 
Principles Of Trauma Care (2)
Principles Of Trauma Care (2)Principles Of Trauma Care (2)
Principles Of Trauma Care (2)MD Specialclass
 
Penetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency ManagementPenetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency Management
SCGH ED CME
 
Blunt Abdominal Trauma
Blunt Abdominal TraumaBlunt Abdominal Trauma
Blunt Abdominal Trauma
FaisalRawagah1
 
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.VApproach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Dr.Damodhar.M.V MBBS,CSSGB,MBA,CPHQ
 
Golden hour -Introduction & Literature Review
Golden hour -Introduction & Literature ReviewGolden hour -Introduction & Literature Review
Golden hour -Introduction & Literature Review
Dr.Sharad H. Gajuryal
 
Advanced trauma life support (atls)
Advanced trauma life support (atls)Advanced trauma life support (atls)
Advanced trauma life support (atls)
Adeel Riaz
 
Advanced trauma and life support (atls)
Advanced trauma and life support (atls)Advanced trauma and life support (atls)
Advanced trauma and life support (atls)anu_sandhya
 
Presentation of atls 2018
Presentation of atls 2018Presentation of atls 2018
Presentation of atls 2018
Novel Pokharel
 

What's hot (20)

We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma We shall not bleed to death - Fluid Resuscitation in Trauma
We shall not bleed to death - Fluid Resuscitation in Trauma
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
 
Lethal triad case study no questions
Lethal triad case study no questionsLethal triad case study no questions
Lethal triad case study no questions
 
Fluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal ApproachFluid management in patients with trauma: Restrictive versus Liberal Approach
Fluid management in patients with trauma: Restrictive versus Liberal Approach
 
Fluid management in surgical patients
Fluid management in surgical patientsFluid management in surgical patients
Fluid management in surgical patients
 
Damage Control in Trauma by Brohi
Damage Control in Trauma by BrohiDamage Control in Trauma by Brohi
Damage Control in Trauma by Brohi
 
Damage Control Resuscitation
Damage Control ResuscitationDamage Control Resuscitation
Damage Control Resuscitation
 
Trauma
TraumaTrauma
Trauma
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
Principles Of Trauma Care (2)
Principles Of Trauma Care (2)Principles Of Trauma Care (2)
Principles Of Trauma Care (2)
 
Penetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency ManagementPenetrating Abdominal Trauma Emergency Management
Penetrating Abdominal Trauma Emergency Management
 
Blunt Abdominal Trauma
Blunt Abdominal TraumaBlunt Abdominal Trauma
Blunt Abdominal Trauma
 
Approach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.VApproach to trauma- ATLS update by Dr.Damodhar.M.V
Approach to trauma- ATLS update by Dr.Damodhar.M.V
 
Fluid and electrolyte management
Fluid and electrolyte managementFluid and electrolyte management
Fluid and electrolyte management
 
Golden hour -Introduction & Literature Review
Golden hour -Introduction & Literature ReviewGolden hour -Introduction & Literature Review
Golden hour -Introduction & Literature Review
 
Advanced trauma life support (atls)
Advanced trauma life support (atls)Advanced trauma life support (atls)
Advanced trauma life support (atls)
 
Advanced trauma and life support (atls)
Advanced trauma and life support (atls)Advanced trauma and life support (atls)
Advanced trauma and life support (atls)
 
Presentation of atls 2018
Presentation of atls 2018Presentation of atls 2018
Presentation of atls 2018
 

Viewers also liked

Reversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral HemorrhageReversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral Hemorrhage
perezjohnangelo
 
Upper gi bleeding
Upper gi bleedingUpper gi bleeding
Upper gi bleeding
Be a Good Doctor Ali Dirie
 
Dengue Fever
Dengue FeverDengue Fever
Dengue Fever
Aamir Haleem
 
Composicion de liquidos corporales y liquidos de administracion
Composicion de liquidos corporales y liquidos de administracionComposicion de liquidos corporales y liquidos de administracion
Composicion de liquidos corporales y liquidos de administracionBelén Ortega
 
Blood & blood products in icu
Blood & blood products in icuBlood & blood products in icu
Blood & blood products in icuimran80
 
Not all bleeding stops: acute coagulopathy of trauma by Brohi
Not all bleeding stops: acute coagulopathy of trauma by BrohiNot all bleeding stops: acute coagulopathy of trauma by Brohi
Not all bleeding stops: acute coagulopathy of trauma by Brohi
SMACC Conference
 
Lactic Acidosis-An update
Lactic Acidosis-An updateLactic Acidosis-An update
Lactic Acidosis-An update
Suneth Weerarathna
 
Damage control-surgery
Damage control-surgeryDamage control-surgery
Damage control-surgery
TunO pulciņš
 
Trauma induced coagulopathy
Trauma induced coagulopathyTrauma induced coagulopathy
Trauma induced coagulopathyAbdulgafoor MT
 
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRAN
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRANVENTILATOR ASSOCIATED PNEUMONIA BY DR IMRAN
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRANimran80
 
Copy of vaporizers
Copy of vaporizersCopy of vaporizers
Copy of vaporizersimran80
 
Venopuncion del Recién Nacido
Venopuncion del Recién NacidoVenopuncion del Recién Nacido
Venopuncion del Recién Nacido
cesarmtzh
 
A new perspective on metabolic acidosis
A new perspective on metabolic acidosisA new perspective on metabolic acidosis
A new perspective on metabolic acidosis
stevechendoc
 
Liver and biliary tree parasites (69)
Liver and biliary tree parasites (69)Liver and biliary tree parasites (69)
Liver and biliary tree parasites (69)Bruno Mmassy
 
Mallory weiss syndrome
Mallory weiss syndromeMallory weiss syndrome
Mallory weiss syndrome
Daniel Augustine
 
Assessment of blood loss
Assessment of blood loss Assessment of blood loss
Assessment of blood loss
Aboubakr Elnashar
 
Gastroenterology
GastroenterologyGastroenterology
GastroenterologyBen Lesold
 
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonatoSales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
Estuardo Perez
 

Viewers also liked (20)

Reversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral HemorrhageReversal of Anticoagulation in Intracerebral Hemorrhage
Reversal of Anticoagulation in Intracerebral Hemorrhage
 
Upper gi bleeding
Upper gi bleedingUpper gi bleeding
Upper gi bleeding
 
Dengue Fever
Dengue FeverDengue Fever
Dengue Fever
 
Composicion de liquidos corporales y liquidos de administracion
Composicion de liquidos corporales y liquidos de administracionComposicion de liquidos corporales y liquidos de administracion
Composicion de liquidos corporales y liquidos de administracion
 
Blood & blood products in icu
Blood & blood products in icuBlood & blood products in icu
Blood & blood products in icu
 
Not all bleeding stops: acute coagulopathy of trauma by Brohi
Not all bleeding stops: acute coagulopathy of trauma by BrohiNot all bleeding stops: acute coagulopathy of trauma by Brohi
Not all bleeding stops: acute coagulopathy of trauma by Brohi
 
Lactic Acidosis-An update
Lactic Acidosis-An updateLactic Acidosis-An update
Lactic Acidosis-An update
 
Damage control-surgery
Damage control-surgeryDamage control-surgery
Damage control-surgery
 
Trauma induced coagulopathy
Trauma induced coagulopathyTrauma induced coagulopathy
Trauma induced coagulopathy
 
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRAN
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRANVENTILATOR ASSOCIATED PNEUMONIA BY DR IMRAN
VENTILATOR ASSOCIATED PNEUMONIA BY DR IMRAN
 
Copy of vaporizers
Copy of vaporizersCopy of vaporizers
Copy of vaporizers
 
Venopuncion del Recién Nacido
Venopuncion del Recién NacidoVenopuncion del Recién Nacido
Venopuncion del Recién Nacido
 
A new perspective on metabolic acidosis
A new perspective on metabolic acidosisA new perspective on metabolic acidosis
A new perspective on metabolic acidosis
 
Liver and biliary tree parasites (69)
Liver and biliary tree parasites (69)Liver and biliary tree parasites (69)
Liver and biliary tree parasites (69)
 
Mallory weiss syndrome
Mallory weiss syndromeMallory weiss syndrome
Mallory weiss syndrome
 
Assessment of blood loss
Assessment of blood loss Assessment of blood loss
Assessment of blood loss
 
Gastroenterology
GastroenterologyGastroenterology
Gastroenterology
 
Coloides cristaloides[2]
Coloides cristaloides[2]Coloides cristaloides[2]
Coloides cristaloides[2]
 
Hemodynamic
HemodynamicHemodynamic
Hemodynamic
 
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonatoSales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
Sales en Urgencias Medica Cloruro de sodio cloruro de potasio y bicarbonato
 

Similar to Fluid and blood resuscitation in abdominal trauma

Fluid manage 최종[1]
Fluid manage 최종[1]Fluid manage 최종[1]
Fluid manage 최종[1]
Seungyoun Kang
 
Fluid balance and therapy in critically ill
Fluid balance and therapy in critically illFluid balance and therapy in critically ill
Fluid balance and therapy in critically ill
Anand Tiwari
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care
Vineel Bezawada
 
Update on fluid therapy in dhf
Update on fluid therapy in dhfUpdate on fluid therapy in dhf
Update on fluid therapy in dhf
Dr Iyan Darmawan
 
Hypotension management in ICU, volume vessel or pump?
Hypotension management in ICU, volume vessel or pump?Hypotension management in ICU, volume vessel or pump?
Hypotension management in ICU, volume vessel or pump?
intentdoc
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
anaesthesiology-mgmcri
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytes
ekhlashosny
 
Fluids &amp; Electrolytes
Fluids &amp; ElectrolytesFluids &amp; Electrolytes
Fluids &amp; Electrolytesekhlashosny
 
intravenous fluid
intravenous fluidintravenous fluid
intravenous fluid
anaesthesiology-mgmcri
 
Concept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceConcept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceDr. MD. Majedul Islam
 
2.colloids
2.colloids2.colloids
2.colloids
Richie Sanam
 
IV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATIONIV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATION
Ashray Vasanthapuram
 
Shock
ShockShock
Shock
kshama_db
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
Tahira Aghani
 
SURG-I FLUIDS & ELECTROLYTES.ppt
SURG-I FLUIDS & ELECTROLYTES.pptSURG-I FLUIDS & ELECTROLYTES.ppt
SURG-I FLUIDS & ELECTROLYTES.ppt
DakaneMaalim
 
A new perspective on hyperkalemia
A new perspective on hyperkalemiaA new perspective on hyperkalemia
A new perspective on hyperkalemia
stevechendoc
 
A New Perspective on Hyperkalemia
A New Perspective on HyperkalemiaA New Perspective on Hyperkalemia
A New Perspective on HyperkalemiaSteve Chen
 
Fluids and electrolytes ppt
Fluids and electrolytes pptFluids and electrolytes ppt
Fluids and electrolytes ppt
rajat1906
 
INTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPYINTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPY
Agrawal N.K
 
Fluid management
Fluid managementFluid management
Fluid management
NasibaHassan
 

Similar to Fluid and blood resuscitation in abdominal trauma (20)

Fluid manage 최종[1]
Fluid manage 최종[1]Fluid manage 최종[1]
Fluid manage 최종[1]
 
Fluid balance and therapy in critically ill
Fluid balance and therapy in critically illFluid balance and therapy in critically ill
Fluid balance and therapy in critically ill
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care
 
Update on fluid therapy in dhf
Update on fluid therapy in dhfUpdate on fluid therapy in dhf
Update on fluid therapy in dhf
 
Hypotension management in ICU, volume vessel or pump?
Hypotension management in ICU, volume vessel or pump?Hypotension management in ICU, volume vessel or pump?
Hypotension management in ICU, volume vessel or pump?
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytes
 
Fluids &amp; Electrolytes
Fluids &amp; ElectrolytesFluids &amp; Electrolytes
Fluids &amp; Electrolytes
 
intravenous fluid
intravenous fluidintravenous fluid
intravenous fluid
 
Concept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceConcept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practice
 
2.colloids
2.colloids2.colloids
2.colloids
 
IV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATIONIV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATION
 
Shock
ShockShock
Shock
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
SURG-I FLUIDS & ELECTROLYTES.ppt
SURG-I FLUIDS & ELECTROLYTES.pptSURG-I FLUIDS & ELECTROLYTES.ppt
SURG-I FLUIDS & ELECTROLYTES.ppt
 
A new perspective on hyperkalemia
A new perspective on hyperkalemiaA new perspective on hyperkalemia
A new perspective on hyperkalemia
 
A New Perspective on Hyperkalemia
A New Perspective on HyperkalemiaA New Perspective on Hyperkalemia
A New Perspective on Hyperkalemia
 
Fluids and electrolytes ppt
Fluids and electrolytes pptFluids and electrolytes ppt
Fluids and electrolytes ppt
 
INTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPYINTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPY
 
Fluid management
Fluid managementFluid management
Fluid management
 

More from imran80

Tropical infections in Indian icu
Tropical infections in Indian icuTropical infections in Indian icu
Tropical infections in Indian icu
imran80
 
ICU imaging
ICU imagingICU imaging
ICU imaging
imran80
 
Radio ii
Radio iiRadio ii
Radio ii
imran80
 
mock exercise icu practicals osce
mock exercise icu practicals osce mock exercise icu practicals osce
mock exercise icu practicals osce
imran80
 
Ecmo
EcmoEcmo
Ecmo
imran80
 
basics of nutrition icu
basics of nutrition icubasics of nutrition icu
basics of nutrition icu
imran80
 
Ards 2018
Ards 2018Ards 2018
Ards 2018
imran80
 
Ards
ArdsArds
Ards
imran80
 
Antibiotics in icu
Antibiotics in icuAntibiotics in icu
Antibiotics in icu
imran80
 
Cardiogenic shock
Cardiogenic shockCardiogenic shock
Cardiogenic shock
imran80
 
Ventilation in obstructive airway disease
Ventilation in obstructive airway diseaseVentilation in obstructive airway disease
Ventilation in obstructive airway disease
imran80
 
Atls tenth ed initial mm
Atls tenth ed initial mmAtls tenth ed initial mm
Atls tenth ed initial mm
imran80
 
Circi
CirciCirci
Circi
imran80
 
Hypertension in icu ppt
Hypertension in icu pptHypertension in icu ppt
Hypertension in icu pptimran80
 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayimran80
 
Midazolam
MidazolamMidazolam
Midazolamimran80
 
Anaesthesia machine
Anaesthesia machineAnaesthesia machine
Anaesthesia machineimran80
 

More from imran80 (17)

Tropical infections in Indian icu
Tropical infections in Indian icuTropical infections in Indian icu
Tropical infections in Indian icu
 
ICU imaging
ICU imagingICU imaging
ICU imaging
 
Radio ii
Radio iiRadio ii
Radio ii
 
mock exercise icu practicals osce
mock exercise icu practicals osce mock exercise icu practicals osce
mock exercise icu practicals osce
 
Ecmo
EcmoEcmo
Ecmo
 
basics of nutrition icu
basics of nutrition icubasics of nutrition icu
basics of nutrition icu
 
Ards 2018
Ards 2018Ards 2018
Ards 2018
 
Ards
ArdsArds
Ards
 
Antibiotics in icu
Antibiotics in icuAntibiotics in icu
Antibiotics in icu
 
Cardiogenic shock
Cardiogenic shockCardiogenic shock
Cardiogenic shock
 
Ventilation in obstructive airway disease
Ventilation in obstructive airway diseaseVentilation in obstructive airway disease
Ventilation in obstructive airway disease
 
Atls tenth ed initial mm
Atls tenth ed initial mmAtls tenth ed initial mm
Atls tenth ed initial mm
 
Circi
CirciCirci
Circi
 
Hypertension in icu ppt
Hypertension in icu pptHypertension in icu ppt
Hypertension in icu ppt
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
 
Midazolam
MidazolamMidazolam
Midazolam
 
Anaesthesia machine
Anaesthesia machineAnaesthesia machine
Anaesthesia machine
 

Recently uploaded

Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.docBài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
daothibichhang1
 
Buy Verified PayPal Account | Buy Google 5 Star Reviews
Buy Verified PayPal Account | Buy Google 5 Star ReviewsBuy Verified PayPal Account | Buy Google 5 Star Reviews
Buy Verified PayPal Account | Buy Google 5 Star Reviews
usawebmarket
 
Observation Lab PowerPoint Assignment for TEM 431
Observation Lab PowerPoint Assignment for TEM 431Observation Lab PowerPoint Assignment for TEM 431
Observation Lab PowerPoint Assignment for TEM 431
ecamare2
 
Company Valuation webinar series - Tuesday, 4 June 2024
Company Valuation webinar series - Tuesday, 4 June 2024Company Valuation webinar series - Tuesday, 4 June 2024
Company Valuation webinar series - Tuesday, 4 June 2024
FelixPerez547899
 
Discover the innovative and creative projects that highlight my journey throu...
Discover the innovative and creative projects that highlight my journey throu...Discover the innovative and creative projects that highlight my journey throu...
Discover the innovative and creative projects that highlight my journey throu...
dylandmeas
 
amptalk_RecruitingDeck_english_2024.06.05
amptalk_RecruitingDeck_english_2024.06.05amptalk_RecruitingDeck_english_2024.06.05
amptalk_RecruitingDeck_english_2024.06.05
marketing317746
 
Authentically Social Presented by Corey Perlman
Authentically Social Presented by Corey PerlmanAuthentically Social Presented by Corey Perlman
Authentically Social Presented by Corey Perlman
Corey Perlman, Social Media Speaker and Consultant
 
Recruiting in the Digital Age: A Social Media Masterclass
Recruiting in the Digital Age: A Social Media MasterclassRecruiting in the Digital Age: A Social Media Masterclass
Recruiting in the Digital Age: A Social Media Masterclass
LuanWise
 
An introduction to the cryptocurrency investment platform Binance Savings.
An introduction to the cryptocurrency investment platform Binance Savings.An introduction to the cryptocurrency investment platform Binance Savings.
An introduction to the cryptocurrency investment platform Binance Savings.
Any kyc Account
 
FINAL PRESENTATION.pptx12143241324134134
FINAL PRESENTATION.pptx12143241324134134FINAL PRESENTATION.pptx12143241324134134
FINAL PRESENTATION.pptx12143241324134134
LR1709MUSIC
 
Mastering B2B Payments Webinar from BlueSnap
Mastering B2B Payments Webinar from BlueSnapMastering B2B Payments Webinar from BlueSnap
Mastering B2B Payments Webinar from BlueSnap
Norma Mushkat Gaffin
 
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challengesEvent Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
Holger Mueller
 
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
taqyed
 
Sustainability: Balancing the Environment, Equity & Economy
Sustainability: Balancing the Environment, Equity & EconomySustainability: Balancing the Environment, Equity & Economy
Sustainability: Balancing the Environment, Equity & Economy
Operational Excellence Consulting
 
Top mailing list providers in the USA.pptx
Top mailing list providers in the USA.pptxTop mailing list providers in the USA.pptx
Top mailing list providers in the USA.pptx
JeremyPeirce1
 
Set off and carry forward of losses and assessment of individuals.pptx
Set off and carry forward of losses and assessment of individuals.pptxSet off and carry forward of losses and assessment of individuals.pptx
Set off and carry forward of losses and assessment of individuals.pptx
HARSHITHV26
 
In the Adani-Hindenburg case, what is SEBI investigating.pptx
In the Adani-Hindenburg case, what is SEBI investigating.pptxIn the Adani-Hindenburg case, what is SEBI investigating.pptx
In the Adani-Hindenburg case, what is SEBI investigating.pptx
Adani case
 
Premium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern BusinessesPremium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern Businesses
SynapseIndia
 
Brand Analysis for an artist named Struan
Brand Analysis for an artist named StruanBrand Analysis for an artist named Struan
Brand Analysis for an artist named Struan
sarahvanessa51503
 
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBdCree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
creerey
 

Recently uploaded (20)

Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.docBài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
Bài tập - Tiếng anh 11 Global Success UNIT 1 - Bản HS.doc
 
Buy Verified PayPal Account | Buy Google 5 Star Reviews
Buy Verified PayPal Account | Buy Google 5 Star ReviewsBuy Verified PayPal Account | Buy Google 5 Star Reviews
Buy Verified PayPal Account | Buy Google 5 Star Reviews
 
Observation Lab PowerPoint Assignment for TEM 431
Observation Lab PowerPoint Assignment for TEM 431Observation Lab PowerPoint Assignment for TEM 431
Observation Lab PowerPoint Assignment for TEM 431
 
Company Valuation webinar series - Tuesday, 4 June 2024
Company Valuation webinar series - Tuesday, 4 June 2024Company Valuation webinar series - Tuesday, 4 June 2024
Company Valuation webinar series - Tuesday, 4 June 2024
 
Discover the innovative and creative projects that highlight my journey throu...
Discover the innovative and creative projects that highlight my journey throu...Discover the innovative and creative projects that highlight my journey throu...
Discover the innovative and creative projects that highlight my journey throu...
 
amptalk_RecruitingDeck_english_2024.06.05
amptalk_RecruitingDeck_english_2024.06.05amptalk_RecruitingDeck_english_2024.06.05
amptalk_RecruitingDeck_english_2024.06.05
 
Authentically Social Presented by Corey Perlman
Authentically Social Presented by Corey PerlmanAuthentically Social Presented by Corey Perlman
Authentically Social Presented by Corey Perlman
 
Recruiting in the Digital Age: A Social Media Masterclass
Recruiting in the Digital Age: A Social Media MasterclassRecruiting in the Digital Age: A Social Media Masterclass
Recruiting in the Digital Age: A Social Media Masterclass
 
An introduction to the cryptocurrency investment platform Binance Savings.
An introduction to the cryptocurrency investment platform Binance Savings.An introduction to the cryptocurrency investment platform Binance Savings.
An introduction to the cryptocurrency investment platform Binance Savings.
 
FINAL PRESENTATION.pptx12143241324134134
FINAL PRESENTATION.pptx12143241324134134FINAL PRESENTATION.pptx12143241324134134
FINAL PRESENTATION.pptx12143241324134134
 
Mastering B2B Payments Webinar from BlueSnap
Mastering B2B Payments Webinar from BlueSnapMastering B2B Payments Webinar from BlueSnap
Mastering B2B Payments Webinar from BlueSnap
 
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challengesEvent Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
Event Report - SAP Sapphire 2024 Orlando - lots of innovation and old challenges
 
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
一比一原版加拿大渥太华大学毕业证（uottawa毕业证书）如何办理
 
Sustainability: Balancing the Environment, Equity & Economy
Sustainability: Balancing the Environment, Equity & EconomySustainability: Balancing the Environment, Equity & Economy
Sustainability: Balancing the Environment, Equity & Economy
 
Top mailing list providers in the USA.pptx
Top mailing list providers in the USA.pptxTop mailing list providers in the USA.pptx
Top mailing list providers in the USA.pptx
 
Set off and carry forward of losses and assessment of individuals.pptx
Set off and carry forward of losses and assessment of individuals.pptxSet off and carry forward of losses and assessment of individuals.pptx
Set off and carry forward of losses and assessment of individuals.pptx
 
In the Adani-Hindenburg case, what is SEBI investigating.pptx
In the Adani-Hindenburg case, what is SEBI investigating.pptxIn the Adani-Hindenburg case, what is SEBI investigating.pptx
In the Adani-Hindenburg case, what is SEBI investigating.pptx
 
Premium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern BusinessesPremium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern Businesses
 
Brand Analysis for an artist named Struan
Brand Analysis for an artist named StruanBrand Analysis for an artist named Struan
Brand Analysis for an artist named Struan
 
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBdCree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
 

Fluid and blood resuscitation in abdominal trauma

  • 1. “ FLUID AND BLOOD RESUSCITATION IN ABDOMINAL TRAUMA: IMPORTANT TIPS IN CLINICAL PRACTICE FOR SURGEONS ” Dr. T.C. Kriplani Professor & Head Department of Anaesthesiology NSCB Medical College JABALPUR (M.P.)
  • 2. American College of Surgeons Classes of Acute Hemorrhage Factors I II III IV Blood loss <15% (<750ml) 15-30% (750-1500ml) 30-40% (1500-2000ml) >40% (>2000ml) Pulse >100 >100 >120 >140 B.P. Normal Normal ↓ ↓↓ Pulse pressure N or ↓ ↓ ↓↓ ↓↓ Capillary refill <2s 2-3s 3-4s >5s Resp. rate 14-20 20-30 30-40 >40 Urine output ml/hr 30 or more 20-30 5-10 Negligible Mental status Slightly anxious Mildly anxious Anxious & confused Confused Lethargic
  • 3.  
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Physiochemical properties of different H.E.S. preparations HES 70/.5 HES 130/.4 HES 200/.5 HES 200/.5 HES 450/.7 Concentration 6% 6% 6% 10% 10% Oncotic pressure mm. of Hg 30-36 36 30-37 55-60 25-30 Volume expansion 100% 100% 100% 130% 100% Half life (hrs) 1-2 2-3 3-4 3-4 5-6 Maximum dose ml/kg 33 50 33 33 20 Effect on hemostasis 0 Negligible + ++ +++
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.