Matches in DBpedia 2015-10 for { <http://dbpedia.org/resource/Permissive_hypotension> ?p ?o }
- Permissive_hypotension abstract "Permissive hypotension or hypotensive resuscitation is the use of restrictive fluid therapy, specifically in the trauma patient, that increases systemic blood pressure without reaching normotension (normal blood pressures). The goal blood pressure for these patients is a mean arterial pressure of 40-50mmHg or a systolic blood pressure less than or equal to 80. This goes along with certain clinical criteria. Following traumatic injury some patients experience hypotension(low blood pressure) that is usually due to blood loss (hemorrhage) but can be due to other causes as well (for example, blood leaking around an abdominal aortic aneurysms). In the past, physicians were very aggressive with fluid resuscitation (giving fluids such as normal saline or lactated Ringer's through the vein) to try to bring the blood pressure to normal values. Recent studies have found that there is some benefit to allowing specific patients to experience some degree of hypotension in certain settings. This concept does not exclude therapy by means of i.v. fluid, inotropes or vasopressors, the only restriction is to avoid completely normalizing blood pressure in a context where blood loss may be enhanced. When a person starts to bleed (big or small) the body starts a natural coagulation process that eventually stops the bleed. Issues with fluid resuscitation without control of bleeding is thought to be secondary to dislodgement of the thrombus (blood clot) that is helping to control further bleeding. Thrombus dislodgement was found to occur at a systolic pressure greater than 80mm Hg. In addition, fluid resuscitation will dilute coagulation factors that help form and stabilize a clot, hence making it harder for the body to use its natural mechanisms to stop the bleeding. These factors are aggravated by hypothermia (if fluids are administered without being warmed first it will cause body temperature to drop).It is becoming common in hemorrhaging patients without traumatic brain injury. Due to the lack of controlled clinical trials in this field, the growing evidence that hypotensive resuscitation results in improved long-term survival mainly stems from experimental studies in animals. Numerous animal models of uncontrolled hemorrhagic shock have demonstrated improved outcomes when a lower than normal blood pressure (mean arterial pressure of 60 to 70 mmHg) is taken as the target for fluid administration during active hemorrhage. The first published study in humans, in victims of penetrating torso trauma, has demonstrated a significant reduction in mortality when fluid resuscitation was restricted in the prehospital period. However, it is important to note that the objective of that study was the comparison between standard prehospital and trauma center fluid resuscitation versus delayed onset of fluid resuscitation (fluid not administered until patients reached the operating room). A more recent study (2011) performed by the Baylor group on patient's who required emergency surgery secondary to hemorrhagic shock was randomized to a mean arterial pressure (MAP) of 50mmHg versus 65mm Hg. The lower MAP group was found to need less total IV fluids, used less blood products, had lower early mortality (within the first 24 hours - which accounts for a large portion of mortality in trauma patients) and trend towards lower 30 day mortality and less postoperative coagulation, concluding that permissive hypotension is safe. Two large human trials of this technique have been conducted, which demonstrated the safety of this approach relative to the conventional target (greater than 100 mmHg), and suggested various benefits, including shorter duration of hemorrhage and reduced mortality. Johns Hopkins group performed a retrospective cohort review from National Trauma Data Bank that found a statistically significant difference in mortality for patient's treated with pre-hospital intravenous fluids. Clinical data from well controlled, prospective trials applying the concept of permissive hypotension in trauma patients are still missing.".
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- Permissive_hypotension wikiPageLength "15383".
- Permissive_hypotension wikiPageOutDegree "75".
- Permissive_hypotension wikiPageRevisionID "678455143".
- Permissive_hypotension wikiPageWikiLink Abdominal_aortic_aneurysm.
- Permissive_hypotension wikiPageWikiLink Angina_pectoris.
- Permissive_hypotension wikiPageWikiLink Autoregulation.
- Permissive_hypotension wikiPageWikiLink Autoregulatory_mechanisms.
- Permissive_hypotension wikiPageWikiLink Bleeding.
- Permissive_hypotension wikiPageWikiLink Blood_pressure.
- Permissive_hypotension wikiPageWikiLink Blood_vessel.
- Permissive_hypotension wikiPageWikiLink Cardiac_muscle.
- Permissive_hypotension wikiPageWikiLink Carotid_artery_stenosis.
- Permissive_hypotension wikiPageWikiLink Category:Medical_terminology.
- Permissive_hypotension wikiPageWikiLink Cerebrovascular_disease.
- Permissive_hypotension wikiPageWikiLink Coagulation.
- Permissive_hypotension wikiPageWikiLink Coagulation_factors.
- Permissive_hypotension wikiPageWikiLink Coagulopathy.
- Permissive_hypotension wikiPageWikiLink Core_body_temperature.
- Permissive_hypotension wikiPageWikiLink Coronary_perfusion_pressure.
- Permissive_hypotension wikiPageWikiLink Crush_syndrome.
- Permissive_hypotension wikiPageWikiLink Crystalloid_fluid.
- Permissive_hypotension wikiPageWikiLink Disease.
- Permissive_hypotension wikiPageWikiLink Emergency_medical_services.
- Permissive_hypotension wikiPageWikiLink End-diastolic_volume.
- Permissive_hypotension wikiPageWikiLink End_diastolic_volume.
- Permissive_hypotension wikiPageWikiLink Erythrocytes.
- Permissive_hypotension wikiPageWikiLink Estrogen.
- Permissive_hypotension wikiPageWikiLink Fluid_replacement.
- Permissive_hypotension wikiPageWikiLink Fluid_resuscitation.
- Permissive_hypotension wikiPageWikiLink Frank_Starling_Law_of_the_Heart.
- Permissive_hypotension wikiPageWikiLink Frank–Starling_law.
- Permissive_hypotension wikiPageWikiLink Hemorrhage.
- Permissive_hypotension wikiPageWikiLink Hemorrhagic_shock.
- Permissive_hypotension wikiPageWikiLink Hemorrhaging.
- Permissive_hypotension wikiPageWikiLink Human_body_temperature.
- Permissive_hypotension wikiPageWikiLink Hypertension.
- Permissive_hypotension wikiPageWikiLink Hypertonic.
- Permissive_hypotension wikiPageWikiLink Hypotension.
- Permissive_hypotension wikiPageWikiLink Hypothermia.
- Permissive_hypotension wikiPageWikiLink Hypoxia_(medical).
- Permissive_hypotension wikiPageWikiLink In_vivo.
- Permissive_hypotension wikiPageWikiLink Inotrope.
- Permissive_hypotension wikiPageWikiLink Intravascular.
- Permissive_hypotension wikiPageWikiLink Intravenous_fluid.
- Permissive_hypotension wikiPageWikiLink Intravenous_therapy.
- Permissive_hypotension wikiPageWikiLink Ischemia.
- Permissive_hypotension wikiPageWikiLink Ischemic.
- Permissive_hypotension wikiPageWikiLink Isotonicity.
- Permissive_hypotension wikiPageWikiLink Israel.
- Permissive_hypotension wikiPageWikiLink Kidney.
- Permissive_hypotension wikiPageWikiLink Lactated_Ringers.
- Permissive_hypotension wikiPageWikiLink Lactated_Ringers_solution.
- Permissive_hypotension wikiPageWikiLink Lactic_acidosis.
- Permissive_hypotension wikiPageWikiLink Mean_arterial_pressure.
- Permissive_hypotension wikiPageWikiLink Metabolic_acidosis.
- Permissive_hypotension wikiPageWikiLink Mitochondrial.
- Permissive_hypotension wikiPageWikiLink Mitochondrion.
- Permissive_hypotension wikiPageWikiLink Morbidity.
- Permissive_hypotension wikiPageWikiLink Mortality_rate.
- Permissive_hypotension wikiPageWikiLink Myocardial.
- Permissive_hypotension wikiPageWikiLink Myocardial_infarction.
- Permissive_hypotension wikiPageWikiLink National_Trauma_Data_Bank.
- Permissive_hypotension wikiPageWikiLink Normal_saline.
- Permissive_hypotension wikiPageWikiLink PH.
- Permissive_hypotension wikiPageWikiLink Perfusion.
- Permissive_hypotension wikiPageWikiLink Polytrauma.
- Permissive_hypotension wikiPageWikiLink Prehospital.
- Permissive_hypotension wikiPageWikiLink Red_blood_cell.
- Permissive_hypotension wikiPageWikiLink Renal.
- Permissive_hypotension wikiPageWikiLink Room_temperature.
- Permissive_hypotension wikiPageWikiLink Saline_(medicine).
- Permissive_hypotension wikiPageWikiLink Shock_(circulatory).
- Permissive_hypotension wikiPageWikiLink Stroke_volume.
- Permissive_hypotension wikiPageWikiLink Systolic_blood_pressure.
- Permissive_hypotension wikiPageWikiLink Thrombus.
- Permissive_hypotension wikiPageWikiLink Tissue_perfusion.
- Permissive_hypotension wikiPageWikiLink Tonicity.
- Permissive_hypotension wikiPageWikiLink Trauma_center.
- Permissive_hypotension wikiPageWikiLink Trauma_triad_of_death.
- Permissive_hypotension wikiPageWikiLink Traumatic_brain_injury.
- Permissive_hypotension wikiPageWikiLink Triad_of_death.
- Permissive_hypotension wikiPageWikiLink United_Kingdom.
- Permissive_hypotension wikiPageWikiLink United_States.
- Permissive_hypotension wikiPageWikiLink Vasopressors.
- Permissive_hypotension wikiPageWikiLink Volume_expander.
- Permissive_hypotension wikiPageWikiLink Wikt:dilution.
- Permissive_hypotension wikiPageWikiLinkText "Permissive Hypotension".
- Permissive_hypotension wikiPageWikiLinkText "Permissive hypotension".
- Permissive_hypotension wikiPageWikiLinkText "permissive hypotension".
- Permissive_hypotension hasPhotoCollection Permissive_hypotension.
- Permissive_hypotension wikiPageUsesTemplate Template:Reflist.
- Permissive_hypotension subject Category:Medical_terminology.
- Permissive_hypotension hypernym Use.
- Permissive_hypotension type Article.
- Permissive_hypotension type Article.
- Permissive_hypotension comment "Permissive hypotension or hypotensive resuscitation is the use of restrictive fluid therapy, specifically in the trauma patient, that increases systemic blood pressure without reaching normotension (normal blood pressures). The goal blood pressure for these patients is a mean arterial pressure of 40-50mmHg or a systolic blood pressure less than or equal to 80. This goes along with certain clinical criteria.".
- Permissive_hypotension label "Permissive hypotension".
- Permissive_hypotension sameAs m.0gfjmhj.