Identification of occult shock is a major clinical problem compounded by inadequate criteria
for assessing the efficacy of fluid resuscitation. We suggest that these problems may be …

In the eighteenth century the French surgeon Le Dran coined the term choc for soldiers
suffering from severe traumatic injuries and heavy blood loss. Shock began appearing in the …

Background: We hypothesized that near-infrared spectroscopy (NIRS)-derived tissue
oxygenation saturation (StO 2) could assist in identifying shock in casualties arriving to a …

Assessment of microcirculation is important in several disease states, especially in the
intensive care setting. Near Infrared Spectroscopy (NIRS) is an easily applicable, non …

BACKGROUND: Subcutaneous oxygen partial pressure is one of several determinants of
surgical site infections (SSIs). However, tissue partial pressure is difficult to measure and …

Background: It remains unclear whether the American College of Surgeons Committee on
Trauma (ACSCOT)“step 1” field physiologic criteria could be further restricted without …

There are substantial data supporting the concept that algorithms that effectively limit fluid
volumes to patients undergoing elective surgery, particularly intraoperatively, significantly …

Hemodynamic support is an early goal in the treatment of the trauma patient. The use of
crystalloids is currently recommended in trauma resuscitation. The amount of fluid we give …

In recent years the envelope of survivability for victims of high-energy polytrauma has been
continuously extended, thanks to advances at all levels of trauma care in both civilian and …

The authors aimed to clarify the effects of hypercapnic acidosis and its timing on gastric
mucosal oxygenation in a canine model of hemorrhage. This was designed as a …