• Scand J Trauma Resus · Feb 2019

    Editorial Comment

    Permissive hypotensive resuscitation in patients with traumatic hemorrhagic shock.

    • Kai-Hung Ho, Yih-Wen Tarng, Yi-Pin Chou, and Hsing-Lin Lin.
    • Division of Trauma Surgery, Department of Emergency, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung, 813, Taiwan.
    • Scand J Trauma Resus. 2019 Feb 12; 27 (1): 14.

    AbstractWe read the article "Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis" by Natthida Owattanapanich et al. with great interest and found it to be insightful. In our commentary, we propose possible reasons why mortality was lower in the permissive hypotension group and how the need for blood transfusion decreased in this group. No significant difference in acute kidney injury (AKI) was evident among patient groups, possibly because all these patients might have AKI. However, we do agree that permissive hypotension is of considerable benefit to trauma patients and worth further study.

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