Perioperative Fluid Therapy
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Perioperative Fluid Therapy
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Author : Robert G. Hahn
language : en
Publisher: CRC Press
Release Date : 2016-04-19
Perioperative Fluid Therapy written by Robert G. Hahn and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-19 with Medical categories.
Perioperative fluid therapy requires the correct selection, amount, and composition of fluids based on the patient's underlying pathology, state of hydration, and type and duration of surgical stress. Filling a gap in the literature, this source provides a solid foundation to practical perioperative fluid management, fluid solutions, and the utiliz
Perioperative Fluid Management
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Author : Ehab Farag
language : en
Publisher: Springer Nature
Release Date : 2020-09-28
Perioperative Fluid Management written by Ehab Farag and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-28 with Medical categories.
This revised and expanded second edition presents the most recent evidence-based facts on perioperative fluid management and discusses fluid management from basic sciences to clinical applications and the patients’ outcomes. Recent advances in understanding the Revised Starling principle with new concepts in tissue perfusion and the most recent techniques of perioperative goal directed fluid management are described. The endothelial glycocalyx functions and the influence of fluid management on its integrity are covered in detail; moreover, the techniques for its protection are also discussed. The dilemma of perioperative use of hydroxyethyl starch solutions and the resurgence of interest in using human albumin as an alternative colloid is explored. The problems of using unbuffered solutions during the perioperative period and comparison between restrictive versus liberal fluid management are discussed in full. Lastly, case scenarios for every possible clinical situation describe the most up-to-date fluid management for the corresponding clinical problem. Perioperative Fluid Management, Second Edition is of interest to anesthesiologists and also intensivists.
Clinical Fluid Therapy In The Perioperative Setting
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Author : Robert G. Hahn
language : en
Publisher: Cambridge University Press
Release Date : 2016-05-26
Clinical Fluid Therapy In The Perioperative Setting written by Robert G. Hahn and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-05-26 with Medical categories.
The world's most renowned researchers in fluid management explain what you should know when providing infusion fluids to surgical patients.
Fluid Therapy For The Surgical Patient
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Author : Christer H. Svensen
language : en
Publisher: CRC Press
Release Date : 2018-03-22
Fluid Therapy For The Surgical Patient written by Christer H. Svensen and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-03-22 with Medical categories.
Over the past decade, there have been a large number of important studies related to fluid management for the surgical patient, resulting in confusion on this critical aspect of patient care. Proper fluid therapy in the perioperative setting has always been important but has only recently had concrete outcome-based guidelines. This is the first comprehensive, up-to-date and practical summary book on the topic.
Basic Principles Of Perioperative Fluid Therapy
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Author : Helena Benito
language : en
Publisher: Lulu.com
Release Date : 2012-04-16
Basic Principles Of Perioperative Fluid Therapy written by Helena Benito and has been published by Lulu.com this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-04-16 with Education categories.
As time goes on it becomes more and more evident that the evolution of a surgical patient is heavily dependent on the quality of all the perioperative care that is taken of him or her. One of the basic pillars of this care is fluid therapy. The intravenous administration of fluids to a patient is not only a means of infusing medicines but is a treatment in and of itself.The aim of this book is simply to give some basic ideas with respect to this theme. It attempts to answer, in as simple, practical and precise a manner as possible, the question; What are we trying to do when fluid therapy is indicated? For this reason, we need to know the properties of the different type of liquids we have at our disposal and how they should be administered.
Body Fluid Management
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Author : F.E. Agro
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-08-21
Body Fluid Management written by F.E. Agro and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-21 with Medical categories.
The administration of intravenous fluids is one of the most common and important therapeutic practices in the treatment of surgical, medical and critically ill patients. The international literature accordingly contains a vast number of works on fluid management, yet there is still confusion as to the best options in the various situations encountered in clinical practice. The purpose of this volume is to help the decision-making process by comparing different solution properties describing their indications, mechanisms of action and side-effects according to physiologic body water distribution, electrolytic and acid-base balance, and to clarify which products available on the market represent the best choice in different circumstances. The book opens by discussing in detail the concepts central to a sound understanding of abnormalities in fluid and electrolyte homeostasis and the effect of intravenous fluid administration. In the second part of the monograph, these concepts are used to explain the advantages and disadvantages of solutions available on the market in different clinical settings. Body Fluid Management: From Physiology to Therapy will serve as an invaluable decision-making guide, including for those who are not experts in the subject.
Goal Directed Fluid Therapy During Major Abdominal Surgery
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Author : Hans Bahlmann
language : en
Publisher: Linköping University Electronic Press
Release Date : 2019-04-10
Goal Directed Fluid Therapy During Major Abdominal Surgery written by Hans Bahlmann and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-04-10 with categories.
Background: Both hypo- and hypervolemia increase the risk for postoperative complications after major abdominal surgery. Fluid needs vary amongst patients depending on differences in preoperative dehydration, intraoperative physiology and surgical characteristics. Goal-directed fluid therapy (GDFT) aims to target the right amount of fluid administration in each patient by evaluating the effect of fluid boluses on haemodynamic parameters such as stroke volume. It has been shown to reduce postoperative morbidity and is generally recommended for high-risk surgery. The overall aim of this thesis was to evaluate whether more simple devices for GDFT result in clinical benefit, thus facilitating the application of GDFT in more patients. Aim: To compare performance and clinical benefit of pleth variability index (PVI), a noninvasive, easy-to-use device for GDFT, with the reference method of oesophageal Doppler; to evaluate methods for measuring preoperative dehydration and its effect on fluid handling by the body; and to confirm the expected clinical benefits of GDFT in patients undergoing oesophageal resection, a high risk procedure. Methods: In Studies I-III 150 patients scheduled for open abdominal surgery of at least 2 hrs were randomised to GDFT with either PVI or oesophageal Doppler. In the first half of the cohort, both monitors were connected to compare intraoperative performance. In 30 patients preoperative dehydration was analysed. In study IV 64 patients undergoing oesophageal resection were randomised to GDFT using pulse contour analysis or standard treatment. Results: The concordance between PVI and oesophageal Doppler for indicating the need for and effect of a fluid bolus was low, and both had only limited capacity to predict the effect of a fluid bolus. Both methods resulted in comparable amounts of fluid being administered and similar clinical outcome. Preoperative dehydration was limited but did impact on fluid handling. Patients receiving GDFT during oesophageal resection received more fluid and more dobutamine compared to controls, but this did not result in any clinical benefit. Conclusions: There are methodological issues as well as uncertainties about the clinical benefit of GDFT. We cannot recommend a strict application of any GDFT strategy, but suggest that its components should be incorporated in a more encompassing assessment of a patient’s fluid needs. The measurement, impact and treatment of preoperative dehydration need to be further clarified.
Effect Of Perioperative Fluid Therapy On Blood Osmolality In Patients Undergoing Elective Orthopaedic Surgery
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Author : Paulina Iwaniuk
language : en
Publisher:
Release Date : 2017
Effect Of Perioperative Fluid Therapy On Blood Osmolality In Patients Undergoing Elective Orthopaedic Surgery written by Paulina Iwaniuk and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Plasma osmolality is an important determinant for fluid shift across the capillary wall. A decrease in plasma osmolality leads to tissue edema, which impairs tissue perfusion. Perioperative fluid infusion may affect the blood osmolality, because theoretical fluid osmolality is different that real [1]. Several studies have documented that crystalloids infusion affects plasma osmolality whereas colloid fluids are iso-oncotic [2]. The purpose of this study was to analyse the plasma osmolality in patients treated with crystalloids or gelatine infusions. Patients and methods. Adult patients undergoing elective knee arthroplasty surgery under spinal anaesthesia were enrolled. Patients with complicated perioperative period and/or those, who required massive fluid resuscitation following perioperative bleeding were excluded. Plasma osmolality was measured just before surgery (A - baseline), 3 hours after surgery (B) and 24 hours after surgery (C). Patients were divided into four equal groups (n = 20): R u2013 patients receiving Ringer solution, P u2013 Plasmalyteu00ae, S u2013 Sterofundinu00ae ISO and G u2013 Gelaspanu00ae. All fluids were administered at the dose 10 u2013 15 mL/kg body weight/h.Results. 80 patients (33 female and 47 male) aged 34 u2013 84 (mean 63 u00b1 12) were studied. The baseline osmolality was comparable in all patients. Plasma osmolality decreased in group R and P at time point C (p
Hemodynamic Monitoring And Fluid Therapy During Surgery
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Author : Alexandre Joosten
language : en
Publisher: Cambridge University Press
Release Date : 2024-05-02
Hemodynamic Monitoring And Fluid Therapy During Surgery written by Alexandre Joosten and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-05-02 with Medical categories.
Combining two successful texts, Clinical Fluid Therapy in the Perioperative Setting, 2nd edition and Perioperative Hemodynamic Monitoring and Goal Directed Therapy, this revised volume provides a guide to fluid management and hemodynamic therapy for the perioperative practitioner. The book begins with an up-to-date overview of the basics before then exploring most of the current and controversial topics within hemodynamic monitoring and fluid therapy. This is followed by a section on practical use which explores hemodynamic and fluid therapy in various types of surgery and patient conditions. The book closes with a discussion of the future concepts in fluid and hemodynamic therapy ranging from microcirculation, to closed-loop and mobiles technologies. With contributions from the world's leading experts, chapters guide the reader in the application of fluid and hemodynamic therapy in all aspects of perioperative patient care. A valuable resource for those involved in perioperative patient management, including anaesthesiologists, intensivists, and surgeons.
Optimisation Of Fluid Therapy In Colorectal Surgery
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Author : Sanket Srinivasa
language : en
Publisher:
Release Date : 2011
Optimisation Of Fluid Therapy In Colorectal Surgery written by Sanket Srinivasa and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with categories.
Fluid administration is an important aspect of perioperative care in colorectal surgery. It has been largely guided by experimental evidence from the 1950s and extrapolated observations from injured soldiers during the Korean and Vietnam War. Recent improvements in perioperative care have led to renewed scrutiny of perioperative fluid management and challenged conventional wisdom with regards to the ideal quantity of fluid to be administered for patients undergoing colorectal surgery. Chapter one introduces this topic with discussion of optimised perioperative care, fluid and electrolyte physiology, composition of intravenous fluids and their clinical implications. It discusses the history of fluid therapy and concludes that avoidance of fluid overload -fluid restriction- and individualised fluid therapy are considered as ideal fluid regimens in colorectal surgery, thus outlining the direction of the rest of the thesis- comparison of the two and exploring their place within the perioperative environment. The prevalent heterogeneity in perioperative care and its influence on fluid administration is demonstrated in chapter two. Chapter three explores the feasibility of intraoperative fluid restriction and establishes a baseline for future comparative studies whilst also showing an important association between increasing fluid amounts and adverse clinical outcomes. Chapter four shows interest and equipoise concerning the use of individualised fluid therapy in clinical practice. It also demonstrates that the Oesophageal Doppler Monitor (ODM) is the most favoured instrument to conduct individualised fluid therapy. Chapter five is a systematic review of the methodology of the published trials exploring ODM-guided fluid therapy in colorectal surgery. It outlines the methodology and limitations of prevalent evidence and allows for the design of prospective studies. Chapter six is a prospective study of individualised fluid therapy in rectal surgery. Chapter seven is a prospective, randomised trial of individualised fluid therapy versus fluid restriction in patients undergoing colectomy within an otherwise optimised perioperative care environment. The prospective studies show that individualised fluid administration and fluid restriction provide equivalent outcomes in an otherwise optimised environment. The findings of this thesis have important scientific and clinical implications which are discussed in chapter eight and nine.