소아 손상통제소생술
Damage control resuscitation in children
김중헌, 고유라, 정경원,
소속 상세정보
김중헌 ( Kim Jung-Heon )
아주대학교 의과대학 응급의학교실
고유라 ( Ko Yu-Ra )
아주대학교 의과대학 응급의학교실
정경원 ( Jung Kyoung-Won )
아주대학교 의과대학 외과학교실 외상외과
Abstract
Damage control resuscitation is a relatively new resuscitative strategy for patients with severe traumatic hemorrhage. This strategy consists of permissive hypotension and early balanced transfusion, and transfers the patients to subsequent surgery. There is growing evidence on harms of excessive fluids. Since 2013, survival benefit of massive transfusion protocol has been proven in adults. Despite insufficient evidence, pediatric massive transfusion protocols are widely used in North American trauma centers. This review focuses on the concept of damage control resuscitation, and summarizes the relevant pediatric evidence.
키워드
Blood Coagulation Disorders; Blood Transfusion; Child; Emergency Medicine; Hemostasis; Hypotension, Controlled; Resuscitation; Wounds and Injuries
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