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Advanced Technical IVT

hypotensive resuscitation

Fluid management strategy that maintains lower blood pressure to reduce bleeding in trauma patients.

Full Definition

Hypotensive resuscitation, also known as permissive hypotension, is a trauma management strategy that intentionally maintains blood pressure below normal levels until definitive surgical control of bleeding is achieved. This approach aims to prevent the disruption of early clot formation that can occur with aggressive fluid resuscitation. The strategy is particularly relevant in penetrating trauma and situations where immediate surgical intervention is planned. Documentation of this approach requires careful notation of target pressure parameters.

Usage

Usage note: Ensure distinction from uncontrolled hypotension - this is a deliberate therapeutic strategy.

In Context

  • "The trauma team employed hypotensive resuscitation to minimize bleeding until surgical control." — Trauma case documentation
  • "Hypotensive resuscitation was maintained with a target systolic pressure of 90 mmHg." — Critical care notes

Also known as

permissive hypotension controlled hypotension

Contrasted with

aggressive resuscitation normotensive resuscitation

Don't confuse with

hypotensive crisis deliberate hypotension

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