Effect of Pre-Hospital Intravenous Fluids on Initial Metabolic Acid-Base Status in Trauma Patients: A Retrospective Cohort Study.
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10 août 2023
- doi: 10.3390/metabo13080937
- issn: 2218-1989
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info:eu-repo/semantics/altIdentifier/doi/10.3390/metabo13080937
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info:eu-repo/semantics/altIdentifier/pmid/37623880
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info:eu-repo/semantics/altIdentifier/pissn/2218-1989
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_0B6EC9647ADA9
info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/
Mots-clés
balanced solutions; fluid resuscitation; hyperchloremia; normal saline; pre-hospital; traumaSujets proches
Therapy Care and treatment Commonwealth, The Administration Group dynamics Association Groups, Social Reanimation Scientific research Science research Science--Research Political thought Government Political theory Civil government Commonwealth, The Science, Political Administration Politics Administration Gas analysis Gas--Analysis Eudiometry Gasometry Administration Public administration--Law and legislation Law, Administrative Estates, Administration of AdministrationCiter ce document
D. Bossel et al., « Effect of Pre-Hospital Intravenous Fluids on Initial Metabolic Acid-Base Status in Trauma Patients: A Retrospective Cohort Study. », Serveur académique Lausannois, ID : 10.3390/metabo13080937
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Résumé
Despite its known harmful effects, normal saline is still commonly used in the treatment of hypovolemia in polytrauma patients. Given the lack of pre-hospital research on this topic, the current study aims to assess the current practice of fluid administration during the pre-hospital phase of care and its effects on initial metabolic acid-base status in trauma patients. We extracted and completed data from patients recorded in the Lausanne University Hospital (CHUV) trauma registry between 2008 and 2019. Patients were selected according to their age, the availability of a blood gas analysis after arrival at the emergency room, data availability in the trauma registry, and the modality of arrival in the ED. The dominantly administered pre-hospital fluid was normal saline. No association between the type of fluid administered during the pre-hospital phase and the presence of hyperchloremic acidosis in the ED was observed.