Permissive Hypotension in Trauma


Authors

DOI:

https://doi.org/10.22517/25395203.24654

Keywords:

Permissive hypotension, Polytrauma, Damage control

Abstract

Introduction: Hemorrhagic shock is one of the most common causes of death in trauma patients, because it sets in motion a vicious cycle of mechanisms, including hypothermia, acidosis, and coagulopathy. To mitigate these effects, damage control strategies have been proposed, including the controlled intake of fluids with permissive hypotension, contemplating goals in systolic blood pressure, and thus, maintaining adequate tissue perfusion.

Objective: The present research aimed to review the literature in search of updated information about the management of permissive hypotension in patients with trauma.

Methodology: Information was searched in the Web-of-Science and Scopus databases in the last five years. The result yielded a total of 118 articles, of which 30 were taken according to the inclusion and exclusion criteria.

Results: All the articles consider the use of permissive hypotension as a good option for the management of patients with trauma and hypotension, however, they differ when it is appropriate to use it and under what conditions it should be performed.

Conclusions: Although permissive hypotension has become one of the fundamental pillars in the prehospital management of the patient with trauma, research studies in humans are required to support when and how it should be used.

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Author Biographies

Yamileth Estrada Berrío, Universidad Tecnológica de Pereira

EMT. Nurse. GIRUS research Group

Universidad Tecnológica de Pereira

Alejandro Barco S´ánchez, Md., Technological University of Pereira

Médico.

Profesor Tecnología en Atención prehospitalaria Universidad Tecnológica de Pereira

Grupo de investigación GIRUS

Sthefanía Ballén Ramírez, Technological University of Pereira

Tecnología en Atención prehospitalaria

Universidad Tecnológica de Pereira

Jeimmy Lorena Salazar Bartolo, Technological University of Pereira

Tecnología en Atención prehospitalaria

Universidad Tecnológica de Pereira

John Jairo Ocampo Rincón, Md. Mg., Fundación Universitaria del Área Andina

Médico y cirujano.

Especialista en epidemiología y docencia universitaria.

Magíster en salud pública

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Published

2021-06-13

How to Cite

Estrada Berrío, Y., Barco S´ánchez, A., Ballén Ramírez, S., Salazar Bartolo, J. L., & Ocampo Rincón, J. J. (2021). Permissive Hypotension in Trauma. Revista Médica De Risaralda, 27(1). https://doi.org/10.22517/25395203.24654

Issue

Vol. 27 No. 1 (2021): January-June 2021

Section

Scoping Review

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