کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4281266 | 1611572 | 2009 | 6 صفحه PDF | دانلود رایگان |

BackgroundThis study evaluated whether commercially available blood volume measurements in critically ill surgical patients altered fluid management.MethodsPatients admitted to the surgical intensive care unit of a tertiary care teaching hospital were prospectively evaluated. The frequency of changes in fluid management when results of blood volume measurements were available was determined.ResultsIn a pilot study, the frequency of instances when measurement of blood volume would have altered fluid management was statistically significant (P = .0003). In 40 subsequent patients, treatment change occurred in 36% of instances when blood volume results were obtained (P < .001). In the majority, no immediate qualitative change in clinical status occurred, with a desirable clinical response in 39% and no negative treatment responses (P < .001).ConclusionsBlood volume measurements may assist in the management of critically ill surgical patients by providing a direct measure of intravascular volume. Further studies are warranted to determine its effect on outcome.
Journal: The American Journal of Surgery - Volume 197, Issue 2, February 2009, Pages 232–237