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.
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.
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Exadaktylos, A., Alam, H. Krieg und Flüssigkeitsmanagement. Unfallchirurg 112, 670–673 (2009). https://doi.org/10.1007/s00113-008-1562-1
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DOI: https://doi.org/10.1007/s00113-008-1562-1