Der Unfallchirurg

, Volume 112, Issue 7, pp 670–673 | Cite as

Krieg und Flüssigkeitsmanagement

Neue Horizonte
In der Diskussion

Zusammenfassung

In den nächsten Jahren wird sich unser Herangehen an den blutenden Patienten radikal verändern müssen. Die zwangsläufig aus dem Irak- und Afghanistan-Krieg gewonnenen Erkenntnisse lassen die Voraussage zu, dass konventionelle Kristalloide früher oder später als Volumenersatz verschwinden werden. Das Dogma, dass Flüssigkeiten per se gegeben werden, wird fallen und durch die Erkenntnis ersetzt werden, das man Volumen nur dann ersetzten muss, wenn es auch signifikant verloren gegangen ist.

Schlüsselwörter

Flüssigkeiten Review Blutung Trauma 

The war on (too many) fluids

New horizons in combat medicine

Abstract

In the coming years, our approach to the bleeding patient will have to change radically. The inevitable knowledge from the wars in Iraq and Afghanistan permits the prediction that conventional crystalloids will sooner or later disappear from volume replacement therapy. The dogma that fluids must always be given will be abandoned, to be replaced by the practice of careful and goal-directed resuscitation. In the near future, we would rely on designer fluids and sophisticated pharmacological agents to deliver personalized resuscitation based upon the specific needs of the individual patient.

Keywords

Fluids Review Bleeding Trauma 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2009

Authors and Affiliations

  1. 1.Department of Academic Emergency MedicineInselspital, University of BernBernSchweiz
  2. 2.Associate Professor of Surgery, Harvard Medical SchoolMassachusetts General Hospital. Division of Trauma, Emergency Surgery and Surgical Critical Care.BostonUSA

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