The use of the "internal autotransfusion" method in complex shock-control measures at the prehospital stage
Salamatin, B.N.; Mikhaĭlov, I.M.; Shirokov, D.M.; Khrushchev, N.V.
Vestnik Khirurgii Imeni I. I. Grekova 148(5): 184-191
1992
ISSN/ISBN: 0042-4625 PMID: 1302952 Document Number: 395023
Fifty-three patients with traumatic shock were injected 200-400 ml of a 10% solution of sodium chloride in combination with 100 ml of the 40% solution of glucose. The continuous, for 1-2 h, elevation of arterial pressure, increased minute blood circulation volume, cardiac index, stroke volume were noted. At the same time base deficiency in blood was growing. So, in the last 5 patients the infusion therapy at the prehospital stage was completed by injecting 200 ml of 3% sodium solution and the acid-base state in them was thus leveled. When using the "internal autotransfusion" lethality was reliably less than in patients who were treated by routine (polyglucon, gelatinole) infusion therapy.