Evaluation of the role of repeated inferior vena cava sonography in estimating first 24 h fluid requirement in resuscitation of major blunt trauma patients in emergency department Suez Canal University Hospital

Table 2 Description of fluid requirement in studied group

				Cases group (N = 60)
Fluid requirement (1st hour)		Mean ± SD		1000 ± 0.0
		Min – Max		1000 – 1000
Blood transfusion (1st hour)		No		16	26.7%
		Yes		44	73.3%
Blood transfusion (1st hour)		Mean ± SD		668.2 ± 253.5
		Min – Max		400 – 1150
		Median (IQR)		550 (550 – 1150)
Blood transfusion (24 h)		No		31	51.7%
		Yes		29	48.3%
Blood transfusion (24 h)		Mean ± SD		1556.3 ± 1081.9
		Min – Max		550 – 3650
		Median (IQR)		850 (550 – 2750)
Fluid requirement (FR)(24 h) > 2400 ml		FR –ve		32	53.3%
		FR + ve		28	46.7%
		Cases (N = 60)	Control (N = 60)	T	P -value
Total fluid requirement (after 24 h)	Mean ± SD	2810 ± 909.3	1595 ± 494.8	9.09	< 0.001 S
	Min – Max	1500—4350	1000 – 2200
	Median (IQR)	2250 (2000—4000)	2000 (1000—2000)

All studied patients of cases (shocked) group required fluid at the 1st hour of resucitation (1000) ml. There were 44 patients (73.3%) required blood transfusion at the 1st hour of resucitation (still hypotensive not responding to initial crystalloid given according to recent ATLS guidlines). There were 31 patients (51.7%) required blood transfusion after 24 h. The mean 24-h blood transfusion was 1556.3 ± 1081.9. There were 28 patients (46.7%) who required fluid > 2400 ml after 24 h. Also, this table shows the significant statistical difference between studied groups (shocked &non-shocked group) (p-value < 0.001) as regards to total fluid requirement after 24 h of the first hour of resuscitation)

ISSN: 1471-227X