Monitoring of Resuscitation of Hemorrhagic Shock

Background

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  Multiple hemodynamic, metabolic, and regional parameters are available to monitor the resuscitation of shock in trauma patients.

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  No single hemodynamic or laboratory parameter can be used to define the endpoint of resuscitation.

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  Traditional monitoring parameters are proven to be poor indicators of oxygen delivery secondary to compensatory mechanisms. These parameters include:

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    blood pressure (BP).

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    heart Rate (HR).

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    central venous pressure (CVP).

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    oxygen saturation (SpO2).

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  A combination of parameters should be used for the assessment of endpoint of resuscitation.