hypotensive resuscitation
Controlled fluid management strategy maintaining lower blood pressure targets to minimize bleeding before definitive hemorrhage control.
Full Definition
Hypotensive resuscitation, also known as permissive hypotension, is a damage control strategy used in emergency surgery patients with ongoing hemorrhage. The approach involves deliberately maintaining systolic blood pressure at 80-90 mmHg rather than normal values to reduce bleeding while preserving organ perfusion. This technique is particularly valuable in penetrating trauma and major bleeding scenarios where aggressive fluid resuscitation might worsen hemorrhage by disrupting early clot formation and diluting clotting factors. The strategy is maintained only until definitive surgical control of bleeding is achieved.
Usage
Usage note: Always document specific blood pressure targets and duration of strategy.
In Context
- "Hypotensive resuscitation was employed to minimize bleeding until operative control was achieved." — Trauma surgery report
- "The damage control strategy included hypotensive resuscitation with target systolic pressure of 85 mmHg." — Critical care documentation