Abstract

Hemorrhagic shock (HS) and traumatic brain injury (TBI) are the leading causes of trauma related deaths. These insults disrupt both the coagulation system and the normal neuroprotective endothelial functions. We have previously reported that resuscitation with 0.9% normal saline (NS) results in increased brain lesion size and swelling compared with fresh frozen plasma (FFP) and colloids (Hextend, HEX) in a swine model of TBI+HS. The goal of this study was to determine whether those findings were associated with differential effects of these fluids on the coagulation and endothelial systems.

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