Evidence map›Paper›PMID 26330707›Full record

ReviewJournal of anaesthesiology, clinical pharmacology

Fluid management in patients with trauma: Restrictive versus liberal approach.

Veena Chatrath, Ranjana Khetarpal, Jogesh Ahuja

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Randomised controlled trials in pre-hospital trauma: a systematic mapping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Pooled it
  2. Pooled it
  3. Permissive hypotensive resuscitation in adult patients with traumatic haemorrhagic shock: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018
    Pooled it
  4. Emergency surgery for blunt abdominal trauma in polytrauma - the impact of time to laparotomy on outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
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  17. Fluid resuscitation in trauma: what are the best strategies and fluids?International journal of emergency medicine · 2019
    Review
  18. Article
  19. Resuscitation with centhaquin and 6% hydroxyethyl starch 130/0.4 improves survival in a swine model of hemorrhagic shock: a randomized experimental study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Article
  20. [Mechanism of ulinastatin in reducing lung inflammatory injury in rats with hemorrhagic shock].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Veena ChatrathDepartment of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
Ranjana KhetarpalDepartment of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
Jogesh AhujaDepartment of Anaesthesia and Critical Care, Government Medical College, Amritsar, Punjab, India.
Government Medical College, Amritsar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma is a leading cause of death worldwide, and almost 30% of trauma deaths are due to blood loss. A number of concerns have been raised regarding the advisability of the classic principles of aggressive crystalloid resuscitation in traumatic hemorrhagic shock. Some recent studies have shown that early volume restoration in certain types of trauma before definite hemostasis may result in accelerated blood loss, hypothermia, and dilutional coagulopathy. This review discusses the advances and changes in protocols in fluid resuscitation and blood transfusion for treatment of traumatic hemorrhage shock. The concept of low volume fluid resuscitation also known as permissive hypotension avoids the adverse effects of early aggressive resuscitation while maintaining a level of tissue perfusion that although lower than normal, is adequate for short periods. Permissive hypotension is part of the damage control resuscitation strategy, which targets the conditions that exacerbate hemorrhage. The elements of this strategy are permissive hypotension, minimization of crystalloid resuscitation, control of hypothermia, prevention of acidosis, and early use of blood products to minimize coagulopathy.

Indexed as

Damage control resuscitationfluid resuscitationmassive transfusion protocolpermissive hypotension

Identifiers

PMID26330707
PMCPMC4541175
OpenAlexW1583002518

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.