Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo hóa học: "Perioperative fluid and volume management: physiological basis, tools and strategies"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Perioperative fluid and volume management: physiological basis, tools and strategies | Strunden et al. Annals of Intensive Care 2011 1 2 http www.annalsofintensivecare.eom content 1 1 2 o Annals of Intensive Care a SpringerOpen Journal REVIEW Open Access Perioperative fluid and volume management physiological basis tools and strategies Mike S Strunden1 2 Kai Heckel1 2 Alwin E Goetz1 2 Daniel A Reuter1 2 Abstract Fluid and volume therapy is an important cornerstone of treating critically ill patients in the intensive care unit and in the operating room. New findings concerning the vascular barrier its physiological functions and its role regarding vascular leakage have lead to a new view of fluid and volume administration. Avoiding hypervolemia as well as hypovolemia plays a pivotal role when treating patients both perioperatively and in the intensive care unit. The various studies comparing restrictive vs. liberal fluid and volume management are not directly comparable do not differ in most instances between colloid and crystalloid administration and mostly do not refer to the vascular barrier s physiologic basis. In addition very few studies have analyzed the use of advanced hemodynamic monitoring for volume management. This article summarizes the current literature on the relevant physiology of the endothelial surface layer discusses fluid shifting reviews available research on fluid management strategies and the commonly used fluids and identifies suitable variables for hemodynamic monitoring and their goal-directed use. Introduction There is increasing evidence that fluid management influences patient s outcome as well in critical illness as during and after major surgery. Hence the numerous different aspects contributing to fluid management have been in the focus of both basic and clinical research during the past years. Basically three questions are intrinsically tied to fluid administration perioperatively and in critically ill patients 1 What happens to intravascular fluid in health and disease 2 How do different intravenous fluids behave .