کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2612901 | 1134804 | 2010 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Faut-il choisir un régime libéral ou restrictif pour administrer les perfusions au cours de la chirurgie abdominale ?
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله

چکیده انگلیسی
There is a plethora of published work regarding pre-, peri- and postoperative fluid management and as a whole, they present the clinician with a confusing picture. The circulation has been assessed perioperatively over the years with heart rate, blood pressure, central venous pressure and even invasively with the pulmonary artery catheter. Recently, a range of alternative and less invasive technologies have been developed to measure cardiac output in the operating room and critical care settings. These include oesophageal and suprasternal Doppler ultrasound, calibrated and uncalibrated pulse contour methods, use of the Fick principle, aortic impedance monitoring and the use of central venous oxygen saturation. There are many comparative studies some demonstrating benefit, others not. The specific nature of the control group treatment in each of the studies and the reproducibility of the results is vitally important when considering how to best use this enormous quantity of data. Consequently, we find advocates of various “fixed dose” fluid regimens, “restricted fluids”, “liberal fluids”, arterial line based “stroke volume variation (SVV)” and “pulse pressure variation”. However, only “stroke volume optimisation” with oesophageal Doppler, targeted oxygen delivery (DO2I) with the pulmonary artery catheter and the avoidance of fluid overload have a significant evidence base demonstrating improved outcome.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Le Praticien en Anesthésie Réanimation - Volume 14, Issue 2, April 2010, Pages 89-93
Journal: Le Praticien en Anesthésie Réanimation - Volume 14, Issue 2, April 2010, Pages 89-93
نویسندگان
Peter Isherwood, Howard G. Wakeling,