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Table 3 Hemodynamic and fluid management according to respondents specialty

From: European trauma guideline compliance assessment: the ETRAUSS study

 

Total (n = 243)

Monitoring

 

 HR

212 (87)

 Urine output

168 (69)

 Lactate clearance

161 (66)

 ScVO2

69 (28)

 Central VP

64 (36)

 Pulse Pressure

60 (25)

 Cardiac index

51 (21)

Pressure targets (no TBI)

 

 SAP 70-80 mmHg

92 (38)

 SAP 80-90 mmHg

25 (10)

 SAP > 90 mmHg

38 (16)

 MAP 50-60 mmHg

47 (20)

 MAP 60-70 mmHg

26 (11)

 MAP > 70 mmHg

7 (3)

No answer

3 (1)

Pressure targets with TBI

 

 SAP > 100 mmHg

46 (19)

 SAP > 110 mmHg

24 (10)

 SAP > 120 mmHg

11 (5)

 MAP 60-70 mmHg

36 (15)

 MAP 70-80 mmHg

43 (18)

 MAP ≥ 80 mmHg

52 (22)

 MAP ≥ 90 mmHg

28 (12)

No answer

3 (1)

Vasopressors

n = 224

 Use ( Yes)

171 (76)

  > 500 ml

23 (13)

  > 1000 ml

73 (43)

  > 2000 ml

56 (33)

  > 3000 ml

19 (11)

Fluid

 

 Ringer Lactate

133 (55)

 Normal saline

90 (37)

 HES

37 (15)

 Gelatines

37 (15)

 Hypertonic saline

32 (13)

 Balanced crystalloids

61 (25)

  1. Percentages are calculated on the total number of respondents (n of each column) except for vasopressor (n of respondents in the line Vasopressor); as “no answer” for vasopressor = 19
  2. SAP systolic arterial pressure, TBI traumatic brain injury, MAP mean arterial pressure, HR heart rate