2012, Number 4
Med Crit 2012; 26 (4)
3rd. place Winner to Prize «Dr. Mario Shapiro»
Colloidosmotic pressure (COP) as a prognostic indicator in trauma. Preliminary report
Basilio OA, Briones JC, Jiménez OJA, Díaz LPMA
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ABSTRACTIntroduction: Colloidosmotic pressure (COP) is force exerted by the protein on the capillary membranes. Starling demonstrated the importance of this pressure to establish a pressure gradient between the interstitial and capillary space wich prevents capillary leakage into the interstitial space. We used the formula 1 of Landis-Pappenheimer to determine the state of the capillary in presence of bleeding.
Material and methods: In this report, we applied the formula 1 of Landis-Pappenheimer to 25 patients admitted to the Central Hospital of the Mexican Red Cross, with a history of severe trauma, all bleed 2,000 mL or more, between 1° March at 31 May 2012 and were subjected to 1 or more surgeries.
Results: Of the 25 Injury, the main cause was the car accident in 7 cases, males prevailed in 84%, the average bleeding was 2.7 liter per patient, the small bowel was the organ most affected, the PCO for survivors was 18.7 torr and 107 in deaths.
Conclusions: The present study although a preliminary report is the first worldwide wich is the measurement of PCO may be useful in predicting the risk of death in the trauma patient a fact that has been shown by other authors in our country.