Deutsch
Albanian
Arabic
Armenian
Azerbaijani
Belarusian
Bengali
Bosnian
Catalan
Czech
Danish
Deutsch
Dutch
English
Estonian
Finnish
Français
Greek
Haitian Creole
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Irish
Italian
Japanese
Korean
Latvian
Lithuanian
Macedonian
Mongolian
Norwegian
Persian
Polish
Portuguese
Romanian
Russian
Serbian
Slovak
Slovenian
Spanish
Swahili
Swedish
Turkish
Ukrainian
Vietnamese
Български
中文(简体)
中文(繁體)
Anaesthesiology Intensive Therapy 2012-Aug

Fluid use in adult intensive care.

Nur registrierte Benutzer können Artikel übersetzen
Einloggen Anmelden
Der Link wird in der Zwischenablage gespeichert
Maria Wujtewicz

Schlüsselwörter

Abstrakt

Methods for the restoration of circulating blood volume, including the use of intravenous fluids, have been widely discussed over many years. There are no clear guidelines regarding the type of solutions, the total volume that should be transfused, or time schedules. Colloid solutions, usually hydroxyethyl starch compositions, are probably the most commonly used volume expanders in resuscitation, despite the lack of convincing trials and possible nephrotoxicity.In 2012, a task force of ESICM published a consensus statement on colloid use in critically ill adult patients. They stressed that infusion of an inappropriate volume may worsen the outcome of critically ill patients. Static parameters of cardiac filling volume, such as CVP or PCWP, commonly used in clinical practice, were found to be useless in the prediction of fluid responsiveness; volumetric or dynamic parameters, like global end diastolic volume (GEDV) or stroke volume variations (SVV), obtained by PICCO meters, seemed be much more appropriate. The dynamic fluid challenge test, which is transfusion of approx. 200 cc (or 3 mL kg-1) of any fluid over 5-10 min resulting in an increase of stroke volume, has also been recommended for the identification of those patients who may benefit from fluid resuscitation. The old passive leg raising test can also be used for this purpose.Despite prolonged discussion about fluid therapy in specific groups of critically ill patients, there is no convincing data to indicate the superiority of colloids over crystalloids. The choice of fluids is usually based on personal preference and hospital policy. Among crystalloid solutions, balanced preparations such as acetates, lactates, malates or citrates are recommended to avoid hyperchloraemia, a common side effect of saline infusion. There is no agreement regarding colloid solutions.The fluid transfusion regimen in critically ill patients should therefore be based on clinical assessment and patient responses.

Treten Sie unserer
Facebook-Seite bei

Die vollständigste Datenbank für Heilkräuter, die von der Wissenschaft unterstützt wird

  • Arbeitet in 55 Sprachen
  • Von der Wissenschaft unterstützte Kräuterkuren
  • Kräutererkennung durch Bild
  • Interaktive GPS-Karte - Kräuter vor Ort markieren (in Kürze)
  • Lesen Sie wissenschaftliche Veröffentlichungen zu Ihrer Suche
  • Suchen Sie nach Heilkräutern nach ihrer Wirkung
  • Organisieren Sie Ihre Interessen und bleiben Sie über Neuigkeiten, klinische Studien und Patente auf dem Laufenden

Geben Sie ein Symptom oder eine Krankheit ein und lesen Sie über Kräuter, die helfen könnten, geben Sie ein Kraut ein und sehen Sie Krankheiten und Symptome, gegen die es angewendet wird.
* Alle Informationen basieren auf veröffentlichten wissenschaftlichen Forschungsergebnissen

Google Play badgeApp Store badge