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Intravenous Fluid of Choice in Major Abdominal Surgery: A Systematic Review
المؤلفون المشاركون
Akaraborworn, Osaree
Noonpradej, Seechad
المصدر
Critical Care Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-19، 19ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-08-03
دولة النشر
مصر
عدد الصفحات
19
التخصصات الرئيسية
الملخص EN
Background.
Intravenous fluid therapy plays a role in maintaining the hemodynamic status for tissue perfusion and electrolyte hemostasis during surgery.
Recent trials in critically ill patients reported serious side effects of some types of fluids.
Since the most suitable type of fluid is debatable, a consensus in perioperative patients has not been reached.
Method.
We performed a systematic review of randomized control trials (RCTs) that compared two or more types of fluids in major abdominal surgery.
The outcomes were related to bleeding, hemodynamic status, length of hospital stay, and complications, such as kidney injury, electrolyte abnormality, major cardiac adverse event, nausea, vomiting, and mortality.
A literature search was performed using Medline and EMBASE up to December 2019.
The data were pooled to investigate the effect of fluid on macrocirculation and intravascular volume effect.
Results.
Forty-three RCTs were included.
Eighteen fluids were compared: nine were crystalloids and nine were colloids.
The results were categorized into macrocirculation and intravascular volume effect, microcirculation, anti-inflammatory parameters, vascular permeability, renal function (colloids), renal function and electrolytes (crystalloids), coagulation and bleeding, return of bowel function, and postoperative nausea vomiting (PONV).
We found that no specific type of fluid led to mortality and every type of colloid was equivalent in volume expansion and did not cause kidney injury.
However, hydroxyethyl starch and dextran may lead to increased bleeding.
Normal saline can cause kidney injury which can lead to renal replacement therapy, and dextrose fluid can decrease PONV.
Conclusion.
In our opinion, it is safe to give a balanced crystalloid as the maintenance fluid and give a colloid, such as HES130/0.4, 4% gelatin, or human albumin, as a volume expander.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Noonpradej, Seechad& Akaraborworn, Osaree. 2020. Intravenous Fluid of Choice in Major Abdominal Surgery: A Systematic Review. Critical Care Research and Practice،Vol. 2020, no. 2020, pp.1-19.
https://search.emarefa.net/detail/BIM-1138499
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Noonpradej, Seechad& Akaraborworn, Osaree. Intravenous Fluid of Choice in Major Abdominal Surgery: A Systematic Review. Critical Care Research and Practice No. 2020 (2020), pp.1-19.
https://search.emarefa.net/detail/BIM-1138499
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Noonpradej, Seechad& Akaraborworn, Osaree. Intravenous Fluid of Choice in Major Abdominal Surgery: A Systematic Review. Critical Care Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-19.
https://search.emarefa.net/detail/BIM-1138499
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1138499
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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