Management of hemorrhagic shock when blood is not an option

National Study Center for Trauma and Emergency Medical Systems, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Journal of Clinical Anesthesia (Impact Factor: 1.19). 12/2008; 20(7):538-41. DOI: 10.1016/j.jclinane.2008.05.012
Source: PubMed


Objective: To describe an alternative approach to management of severe life- threatening hemorrhagic shock and the outcome when blood was not a treatment option. Design: Case Report of the use of a Hemoglobin Based Oxygen Carrier (HBOC-201)when control of hemorrhage and intravenous crystalloids were unsuccessful in reversal of hemorrhagic shock and progressive ischemia. Setting: Trauma Center. Patients: Jehovah's Witness. Outcome: Hospital discharge and 6 month follow-up uneventful. (C) 2008 Elsevier Inc. All fights reserved.

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