2011
DOI: 10.1007/s00068-011-0113-6
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Resuscitation and monitoring in gastrointestinal bleeding

Abstract: Management of gastrointestinal bleeding requires a dynamic multidisciplinary approach. The mentioned advances in management of hemorrhagic shock must be considered in resuscitation and monitoring of patients with GI bleeding.

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Cited by 6 publications
(2 citation statements)
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“…The clinical examination and vital signs commonly used in the setting of GI bleeding, such as blood pressure, heart rate, hypothermia, and oxygen saturation, are ineffective markers of blood loss, but yet they are the main items in hemodynamic assessments for the most common GI bleeding risk predictive scores, clearly because of their availability and noninvasive nature. There is growing evidence demonstrating the usefulness of US in patients’ volume status assessments, improving and changing clinical management of patients with hypovolemia.…”
Section: Discussionmentioning
confidence: 99%
“…The clinical examination and vital signs commonly used in the setting of GI bleeding, such as blood pressure, heart rate, hypothermia, and oxygen saturation, are ineffective markers of blood loss, but yet they are the main items in hemodynamic assessments for the most common GI bleeding risk predictive scores, clearly because of their availability and noninvasive nature. There is growing evidence demonstrating the usefulness of US in patients’ volume status assessments, improving and changing clinical management of patients with hypovolemia.…”
Section: Discussionmentioning
confidence: 99%
“…However, these advances in resuscitation and monitoring have not yet been fully adapted to the management of gastrointestinal bleeding [1]. Resuscitation of severe gastrointestinal bleeding requires a delicate balance that maintains appropriate end organ perfusion to prevent organ failure while avoiding the complications of aggressive resuscitation which may increase hemorrhage and mortality in uncontrolled hemorrhage.…”
mentioning
confidence: 99%