Tìm thấy 18+ kết quả cho từ khóa "Fluid administration"
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Finally, we combined all patients from both groups, and created NPO time to total administered fluid scatterplots to assess the effect of patient- reported NPO time on fluid administration.. Results: Whether reported by total administered volume or net fluid volume, and whether we expressed the sum as ml, ml/hr., or ml/kg/hr., the AM group received more fluid on average than the PM group in all cases.
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Prediction of fluid responsiveness was tested by calculation of receiver operating characteristic (ROC) curves including a gray zone approach and compared using Fisher ’ s Z-Test.. Results: Fluid administration resulted in an increase in cardiac output, while all functional hemodynamic parameters decreased. A wide range of areas under the ROC-curve (AUC ’ s) was observed: AUC-SVV PiCCO = 0.91, AUC-PPV PiCCO = 0..
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The exclusive use of crys- talloid solutions, because of their lower volume effect and shorter intravascular persistence, is associated with greater volumes of fluid administration resulting in fluid overload and its potential complications in the peri- operative period [57]. In an experimental study, Hiltebrand et al. abdominal surgery [59]. Recently, Orbegozo Cortes et al.
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The concept of fluid responsiveness has been sug- gested as a guide for fluid administration in critically ill patients to avoid over- and under-fluid resuscitation.. Fluid responsiveness is defined as the ability of the left ventricle to increase stroke volume (SV) after fluid ad- ministration [1, 2]. Several methods have been suggested to detect fluid responsiveness. However, during the postopera- tive period, these methods are not feasible in patients with spontaneous breathing activity.
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On the other hand, excessive fluid administration leads to destruction of the endothelial surface layer and consequently to tis- sue edema with harmful side effects [1, 3, 4].. Goal-directed fluid therapy (GDT), based on optimization of flow-related hemodynamic parameters improves clinical outcome in low to high-risk surgical patients compared to fixed fluid protocols [5, 6].
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Goal-directed fluid administration allows to administer fluids tailored to the individual needs of our patients. In our fore-mentioned main trial there was no difference in surgical outcomes between goal- directed colloid and crystalloid administration, which suggests that the actual type of fluid might not matter, as long as we administer it in a goal-directed way [22]..
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Keywords: Alpha-1 adrenergic agonists, Anesthesia management, Goal-directed fluid therapy, Length of hospital stay, Noncardiac surgery, Morbidity, Mortality. Many recent studies have demonstrated the beneficial effects of the infusion or injection of alpha-1 adrenergic agonists combined with appropriate fluid administration [11–13].
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Median (IQR) total intraoperative fluid administration was 2000 ml (1175 to 2700) in the GDFT group compared to 2750 ml (2000 to 4000) in the Usual care group;. Median (IQR) crystalloid use was 1250 ml (1000 to 2025) in the GDFT group vs. 2000 ml (1750 to 3150) in the Usual care group. Nine patients (35%) developed a postoperative com- plication in the GDFT group vs. 18 patients (56%) in the Usual care group (OR: 0.41.
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Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery.. Haemodynamic goal- directed therapy and postoperative infections: earlier is better. Goal-directed fluid therapy for reducing risk of surgical site infections following abdominal surgery - a systematic review and meta-analysis of randomized controlled trials. Cecconi M, Fasano N, Langiano N, et al.
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The use of pulse pressure variation and stroke volume variation in spontaneously breathing patients to assess dynamic arterial elastance and to predict arterial pressure response to fluid administration. Bar S, Leviel F, Abou Arab O, et al. Dynamic arterial elastance measured by uncalibrated pulse contour analysis predicts arterial-pressure response to a decrease in norepinephrine.
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However, there are various conditions during fluid administration that must be considered, such as the fluid warmer type, flow rate, fluid temperature, and the IV line length, because the conditions may affect the actual temperature of the administered fluid. However, previous studies mainly focused on changing the flow rate . The fluid temperature was measured using a two-channel therm- ometer (ThermaQ. We evaluated the efficacy of the two fluid warmers under several conditions.
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It can provide SVV for fluid management, which has proven to enhance surgical safety in the treatment of critically ill patients [21].. This indicator LVEDVV has potential clinical applica- tions for goal-directed intraoperative fluid administration and situations in which volume and cardiac function mon- itoring during surgery is important. cardiac function for high-risk patient, which is simple, feasible, and cost effective.
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While the use of alkali in moderate lactic acidosis is controversial, it is generally agreed that attempts to return the pH or [HCO 3. to normal by administration of exogenous NaHCO 3 are deleterious. NaHCO 3 therapy can cause fluid overload and hypertension because the amount required can be massive when accumulation of lactic acid is relentless.. Fluid administration is poorly tolerated because of central venoconstriction, especially in the oliguric patient.
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Stroke volume averaging for individualized goal-directed fluid therapy with oesophageal Doppler. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery.
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Policies included: minimizing duration of head-down positioning (5/6), frequent discussion with surgeons regarding patient’s positioning (5/6), minimizing inclination angle (3/6), frequent assessments and docu- mentation of patient’s position (3/6), avoiding excessive intravenous fluid administration (2/6), and avoiding shoulder braces (1/6)..
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For the second part (“Fluid administration in specific dis- ease conditions”) the services of a professional librarian were employed and a systematic search of the literature was performed. In the past, administration of albumin was thought to increase mortality. In the SAFE study, no difference was found between hypovolaemic patients treated with albumin (n = 3497) or saline (n = 3500) in mortality, length of ICU or hospital stay, or organ dysfunction [18].
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However, overall fluid administration including the intraoperative period and the first 24 postoperative hours, as well as the administration of fluid as drug excipients, placing the total balance at 15.4 ml/Kg.. administered 1 ml/Kg/h crystalloid as maintenance fluid.. 3 Density plot of ml/Kg of Crystalloids. 15 patients with more than 100 ml/Kg in total were removed.
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Mean fluid administration until the end of the study (ml).
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The administration of oral fluid was intro- duced in stages. In the study group, when children regained full consciousness following general anesthesia, they were assessed instantly on several criteria: the re- covery of coughing and swallowing reflex, no nausea and vomiting, muscle strength returned to level V, stable vital signs, and had a desire for water consumption.. Once these criteria were fulfilled, the procedures for oral fluid (water) administration would then be carried out..
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Pa- tients in the PVI GDFT group received a fluid challenge if PVI was higher than 15% for more than 5 min while patients in the PPV GDFT group received a fluid chal- lenge if PPV was higher than 13% for more than 5 min . PVI or PPV values were below the pre- determined fluid responsiveness threshold) (Fig. Add- itional crystalloids infused for antibiotic and analgesic administration were recorded and added to the total infused volume.