Fluid therapy in cardiac surgery. An update

被引:1
|
作者
Boix, E. [1 ]
Vicente, R. [2 ]
Perez-Artacho, J. [1 ]
机构
[1] Hosp Vinalopo, Serv Anestesiol Reanimac & Tratamiento Dolor, Alicante, Spain
[2] Hosp Univ Politecn La Fe, Serv Anestesiol Reanimac & Tratamiento Dolo, Unidad Reanimac, Valencia, Spain
来源
关键词
Fluid therapy; Cardiac surgery; Cardiac output; Hemodynamic monitoring; Echocardiography;
D O I
10.1016/j.redar.2013.01.006
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The anesthetist has 2 major tools for optimizing haemodynamics in cardiac surgery: Vasoactive drugs and the intravascular volume. It is necessary to identify which patients would benefit from one or the other therapies for a suitable response to treatment. Hemodynamic monitoring with the different existing parameters (pressure, volumetric static, volumetric functional and echocardiography) allows the management of these patients to be optimized. In this article a review is presented on the most recent and relevant publications, and the different toots available to control the management of the fluid therapy in this context, and to suggest a few guidelines for the haemodynamics monitoring of patients submitted to cardiac surgery. A systematic search has been made in PubMed, limiting the results to the publications over the last five years up to February 2012. (C) 2012 Sociedad Espanola de Anestesiologia, Reanimation y Terapeutica del Dolor. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:21 / 27
页数:7
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