Hemorrhagic shock is a form of hypovolemic shock in which severe blood loss leads to inadequate oxygen delivery at the cellular level. Death from hemorrhage represents a substantial global problem, with more than 60,000 deaths per year in the United States and an estimated 1.9 million deaths per year worldwide, 1.5 million of which result from physical trauma. Furthermore, those who survive the initial hemorrhagic insult have poor functional outcomes and significantly increased long-term mortality. This case report aims to describe the handling of hemorrhagic shock whether it is in accordance with protocol damage control.
Anesthesia management in patients with hemorrhagic shock requires special attention to preoperative, intraoperative, and postoperative managements. Hemorrhagic shock management using permissive hypotension management, bleeding control, Massive Transfusion Protocol (MTP), minimal crystalloid therapy, and adjuvant therapy is the best approach to get optimal outcome to prevent triad of death. In this case, the application of damage control resuscitation has not been fully implemented because of several constraints
Key words: Hemorrhagic shock, permissive hypotension, Massive Transfusion Protocol (MTP), resuscitation
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