Management of hemorrhagic shock: Physiology approach, timing and strategies

FG Bonanno - Journal of Clinical Medicine, 2022 - mdpi.com
Hemorrhagic shock (HS) management is based on a timely, rapid, definitive source control
of bleeding/s and on blood loss replacement. Stopping the hemorrhage from progressing …

[PDF][PDF] Hemorrhagic shock and the microvasculature

I Torres Filho - Compr Physiol, 2017 - researchgate.net
The microvasculature plays a central role in the pathophysiology of hemorrhagic shock and
is also involved in arguably all therapeutic attempts to reverse or minimize the adverse …

Plasma syndecan-1 and heparan sulfate correlate with microvascular glycocalyx degradation in hemorrhaged rats after different resuscitation fluids

IP Torres Filho, LN Torres… - American Journal of …, 2016 - journals.physiology.org
The endothelial glycocalyx plays an essential role in many physiological functions and is
damaged after hemorrhage. Fluid resuscitation may further change the glycocalyx after an …

Searching for the optimal fluid to restore microcirculatory flow dynamics after haemorrhagic shock: a systematic review of preclinical studies

DN Naumann, A Beaven, J Dretzke, S Hutchings… - Shock, 2016 - journals.lww.com
Background: Increased microcirculatory flow and perfusion has been reported to improve
clinical outcomes following shock. The optimal resuscitation fluid to restore the flow …

Hemorrhagic shock: the “physiology approach”

FG Bonanno - Journal of emergencies, trauma, and shock, 2012 - journals.lww.com
A shift of approach from 'clinics trying to fit physiology'to the one of 'physiology to clinics', with
interpretation of the clinical phenomena from their physiological bases to the tip of the …

Resuscitation with hydroxyethyl starch maintains hemodynamic coherence in ovine hemorrhagic shock.

PH Arnemann, M Hessler, T Kampmeier, L Seidel… - …, 2020 - europepmc.org
Background Fluid resuscitation in hemorrhagic shock aims to restore hemodynamics and
repair altered microcirculation. Hemodynamic coherence is the concordant performance of …

Capillary leak and edema after resuscitation: The potential contribution of reduced endothelial shear stress caused by hemodilution

D Walsh, C Cunning, G Lee, J Boylan, P McLoughlin - Shock, 2023 - journals.lww.com
Normal shear stress is essential for the normal structure and functions of the
microcirculation. Hemorrhagic shock leads to reduced shear stress due to reduced tissue …

Resuscitation after hemorrhagic shock in the microcirculation: targeting optimal oxygen delivery in the design of artificial blood substitutes

C Munoz, F Aletti, K Govender, P Cabrales… - Frontiers in …, 2020 - frontiersin.org
Microcirculatory preservation is essential for patient recovery from hemorrhagic shock. In
hemorrhagic shock, microcirculatory flow and pressure are greatly reduced, creating an …

Resuscitation from hemorrhagic shock using polymerized hemoglobin compared to blood

D Ortiz, M Barros, S Yan, P Cabrales - The American journal of emergency …, 2014 - Elsevier
The development of an alternative to blood transfusion to treat severe hemorrhage remains
a challenge, especially in far forward scenarios when blood is not available. Hemoglobin …

Haemodynamic coherence—the relevance of fluid therapy

P Arnemann, L Seidel, C Ertmer - Best Practice & Research Clinical …, 2016 - Elsevier
The ultimate goal of fluid therapy is to improve the oxygenation of cells by improving the
cardiac output, thus improving microcirculation by optimizing macrocirculation. This …