Citation

Shoemaker WC. Surg. Clin. North Am. 2002; 82(1): 245-255.

Affiliation

Department of Anesthesia and Surgery, Los Angeles County and University of Southern California Medical Center, University of Southern California, 90033, USA. wcshoemaker00@hotmail.com

Copyright

(Copyright © 2002, Elsevier Publishing)

DOI

unavailable

PMID

11905950

Abstract

The mathematical model satisfactorily predicted outcome in acute emergencies based on noninvasively monitored flow, pressure, pulse oximetry, tissue perfusion values, and their cumulative deficits. A decision support system provided information on the relative effectiveness of various therapeutic modalities based on the responses of patients with very similar states. The concept that hypovolemia and oxygen debt is an early primary problem that plays an important role in low flow and poor tissue perfusion states is supported by direct observation of massive hemorrhage, estimated blood loss of hemoperitoneum and hemothorax at the time of surgery, and prior studies in the literature that documented blood volume deficits in posttraumatic and postoperative patients who subsequently developed organ failures and death.

Language: en