tailieunhanh - Báo cáo khoa học: "Continuously assessed right ventricular end-diastolic volume as a marker of cardiac preload and fluid responsiveness in mechanically ventilated cardiac surgical patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Continuously assessed right ventricular end-diastolic volume as a marker of cardiac preload and fluid responsiveness in mechanically ventilated cardiac surgical patients. | Available online http content 9 3 R226 Research Continuously assessed right ventricular end-diastolic volume as a marker of cardiac preload and fluid responsiveness in mechanically ventilated cardiac surgical patients Christoph Wiesenack1 Christoph Fiegl2 Andreas Keyser3 Sven Laule4 Christopher Prasser1 and Cornelius Keyl5 Consultant Department of Anesthesiology University Hospital Regensburg Regensburg Germany 2Resident Department of Anesthesiology University Hospital Regensburg Regensburg Germany 3Staff Surgeon Department of Cardiothoracic and Vascular Surgery University Hospital Regensburg Regensburg Germany 4Staff Anesthesiologist Department of Anesthesiology Heart-Center Bad Krozingen Bad Krozingen Germany 5Consultant Department of Anesthesiology Heart-Center Bad Krozingen Bad Krozingen Germany Corresponding author Christoph Wiesenack Received 15 Oct 2004 Revisions requested 18 Jan 2005 Revisions received 1 Feb 2005 Accepted 18 Feb 2005 Published 1 Apr 2005 Critical Care 2005 9 R226-R233 DOI 86 cc3503 This article is online at http content 9 3 R226 2005 Wiesenack et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Assessing cardiac preload and fluid responsiveness accurately is important when attempting to avoid unnecessary volume replacement in the critically ill patient which is associated with increased morbidity and mortality. The present clinical trial was designed to compare the reliability of continuous right ventricular end-diastolic volume CEDV index assessment based on rapid response thermistor technique cardiac filling pressures central venous pressure CVP and pulmonary capillary wedge pressure PCWP