Abstract
Resuscitation of the critically injured trauma patient has drastically changed with improved medical technology and a greater understanding of the pathophysiology of multiple organ system failure. Reliance upon urine output, heart rate and blood pressure as markers of inadequate tissue perfusion have been supplanted with thermodilution pulmonary artery catheters, gastric tonometers and near-infrared spectroscopy. These changes were fueled by recognition that, despite the return to “normal” blood pressure, heart rate and urine output, morbidity and mortality rates remained exceedingly high among critically injured. With this, the definition of shock no longer focused upon abnormal vital signs, but is now recognized as a state of inadequate tissue oxygenation. As a result, patients with compensated shock — having normal vital signs but evidence of inadequate tissue oxygenation - are now increasingly recognized.
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© 2002 Springer Science+Business Media New York
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Nirula, R., Gentilello, L.M. (2002). Assessing Adequacy of Resuscitation. In: Karmy-Jones, R., Nathens, A., Stern, E.J. (eds) Thoracic Trauma and Critical Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1127-4_3
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DOI: https://doi.org/10.1007/978-1-4615-1127-4_3
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-5407-9
Online ISBN: 978-1-4615-1127-4
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