Permissive Hypotension and Trauma: Can Fluid Restriction Reduce the Incidence of ARDS? Journal Article

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Authors: Kolarik, M.; Roberts, E
Article Title: Permissive Hypotension and Trauma: Can Fluid Restriction Reduce the Incidence of ARDS?
Abstract: Emergency care, including the resuscitation of patients involved in traumatic events, has evolved over the years. A prior practice of utilizing large volumes of crystalloids has been found to contribute to complications such as coagulopathy, fluid overload, and adult respiratory distress syndrome (ARDS). In contrast, permissive hypotension is a method of fluid restriction that allows for low blood pressure and mean arterial pressure during the resuscitation period. When permissive hypotension occurs and fluids are restricted in trauma patients, the incidence of ARDS can be reduced significantly with improvement in patient outcomes. Using evidence, nurse practitioners in the emergency department have an important role in evaluating and updating protocols such as permissive hypotension.
Journal Title: Journal of trauma nursing : the official journal of the Society of Trauma Nurses
Volume: 24
Issue: 1
ISSN: 1078-7496; 1078-7496
Publisher: Unknown  
Journal Place: United States
Date Published: 2017
Start Page: 19
End Page: 24
Language: eng
DOI/URL:

10.1097/JTN.0000000000000257
Notes: LR: 20161230; JID: 9512997; ppublish