Measurement of StO2 Prehospital and Lactate Levels on the Arrival at the Hospital: Observational Study in Mountain Traumatology
Keywords:
prehospital microvascular management - StO2 - NIRS - lactate - mountain traumatologyAbstract
Hypovolemia is a major complication of trauma patients, leading, if not treated rapidly, to tissue and organ hypo perfusion and the development of multiple organ failure. During the out of hospital management of trauma patients, it is recommended to maintain the blood pressure in first time with the fluid administration and if it is not sufficient in second time by a vasopressor. The aim of these treatments is to avoid microcirculation alteration with a deficit of tissue perfusion and oxygen delivery to vital organs. In trauma patients, peripheral muscle tissue oxygen saturation (StO2) measured by near-infrared spectroscopy (NIRS) was shown to be more reliable than systemic hemodynamic variables as an index of severity of traumatic shock.
The objective of this prospective study was to compare hemodynamic variables and the lactate values with the regional tissue oxygenation saturation monitoring (StO2) measured by near-infrared spectroscopy in the prehospital management of mountain trauma patients
References
R P Dellinger, M M Levy, A Rhodes, D Annane, H Gerlach, S M Opal, et al. (2013) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock, 2012. 39(2), 165-228.
S Trzeciak, R P Dellinger, J E Parrillo, M Guglielmi, J Bajaj, N L Abate, et al. (2007) Early microcirculatory perfusion derangements in patients with severe sepsis and septic shock: relationship to hemodynamics, oxygen transport, and survival. 49(1), 88-98,98.e1-2.
Y Sakr, M J Dubois, D De Backer, J Creteur, J L Vincent (2004) Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock. 32(9), 1825-1831.
P W G Elbers, C Ince (2006) Mechanisms of critical illness--classifying microcirculatory flow abnormalities in distributive shock. 10(4), 221.
S Trzeciak, J V McCoy, R P Dellinger, R C Arnold, M Rizzuto, N L Abate, et al. (2008) Early increases in microcirculatory perfusion during protocol-directed resuscitation are associated with reduced multi-organ failure at 24 h in patients with sepsis. 34(12), 2210-2217.
S M Cohn, A B Nathens, F A Moore, P Rhee, J C Puyana, E E Moore, G J Beilman (2007) Tissue oxygen saturation predicts the development of organ dysfunction during traumatic shock resuscitation. 62, 44-54.
B A Crookes, S M Cohn, S Bloch, J Amortegui, R Manning, P Li, M S Proctor, A Hallal, L H Blackbourne, R Benjamin, D Soffer, F Habib, C I Schulman, R Duncan, K G Proctor (2005) Can near-infrared spectroscopy identify the severity of shock in trauma patients?. 58, 806-13.
B A Crookes, S M Cohn, E A Burton, J Nelson, K G Proctor (2004) Noninvasive muscle oxygenation to guide fluid resuscitation after traumatic shock. 135, 662-670.
D R Spahn, V Cerny, T J Coats, J Duranteau, E Fernandez-Mondejar, G Gordini, P F Stahel, B J Hunt, R Komadina, E Neugebauer, Y Ozier, L Riddez, A Schultz, J L Vincent, R Rossaint (2016) The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. 20, 100.
Martin C, Domergue R (1997) Prehospital and early hospital management of a state of hemorrhagic shock of traumatic origin. 16, 1030-1036.
C Broux, F X Ageron, J Brun, F Thony, C Arvieux, J Tonetti, E Gay, E Rancurel, J F Payen, C Jacquot (2010) Fili%C3%A8res de soins en traumatologie, une organisation indispensable (Trauma network for the severely injured patient is essential). 19, 671-676.
D Sartorius, Y Le Manach, J S David, et al. (2010) Mechanism, Glasgow coma scale, age, and arterial pressure (MGAP): a new simple prehospital triage score to predict mortality in trauma patients. 38, 831-7.
A Lima, J van Bommel, T C Jansen, C Ince, J Bakker (2009) Low tissue oxygen saturation at the end of early goal-directed therapy is associated with worse outcome in critically ill patients. 13(Suppl 5), S13.
J Duret, J Pottecher, P Bouzat, J Brun, A Harrois, J F Payen, J Duranteau (2015) Skeletal muscle oxygenation in severe trauma patients during hemorrhagic shock resuscitation. 19(1), 141.
G J Beilman, J J Blondet, T R Nelson, A B Nathens, F A Moore, P Rhee, J C Puyana, E E Moore, S M Cohn (2009) Early hypothermia in severely injured trauma patients is a significant risk factor for multiple organ dysfunction syndrome but not mortality. 249(5), 845-850.
F A Moore, T Nelson, B A McKinley, E E Moore, A B Nathens, P Rhee, J C Puyana, G J Beilman, S M Cohn (2008) Massive transfusion in trauma patients: tissue hemoglobin oxygen saturation predicts poor outcome. 64(4), 1010-23.
American College of Surgeons Committee on Trauma Advanced Trauma Life Support Manual (ninth edition-2012).
Downloads
- Article PDF
- TEI XML Kaleidoscope (download in zip)* (Beta by AI)
- Lens* NISO JATS XML (Beta by AI)
- HTML Kaleidoscope* (Beta by AI)
- DBK XML Kaleidoscope (download in zip)* (Beta by AI)
- LaTeX pdf Kaleidoscope* (Beta by AI)
- EPUB Kaleidoscope* (Beta by AI)
- MD Kaleidoscope* (Beta by AI)
- FO Kaleidoscope* (Beta by AI)
- BIB Kaleidoscope* (Beta by AI)
- LaTeX Kaleidoscope* (Beta by AI)
Published
Issue
Section
License
Copyright (c) 2023 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.
