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Extravascular Lung Water Does Not Increase in Hypovolemic Patients after a Fluid-Loading Protocol Guided by the Stroke Volume Variation
المؤلفون المشاركون
Ferrando, Carlos
Aguilar, Gerardo
Belda, F. Javier
المصدر
Critical Care Research and Practice
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-10-04
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Circulatory failure secondary to hypovolemia is a common situation in critical care patients.
Volume replacement is the first option for the treatment of hypovolemia.
A possible complication of volume loading is pulmonary edema, quantified at the bedside by the measurement of extravascular lung water index (ELWI).
ELWI predicts progression to acute lung injury (ALI) in patients with risk factors for developing it.
The aim of this study was to assess whether fluid loading guided by the stroke volume variation (SVV), in patients presumed to be hypovolemic, increased ELWI or not.
Methods.
Prospective study of 17 consecutive postoperative, fully mechanically ventilated patients diagnosed with circulatory failure secondary to presumed hypovolemia were included.
Cardiac index (CI), ELWI, SVV, and global end-diastolic volume index (GEDI) were determined using the transpulmonary thermodilution technique during the first 12 hours after fluid loading.
Volume replacement was done with a strict hemodynamic protocol.
Results.
Fluid loading produced a significant increase in CI and a decrease in SVV.
ELWI did not increase.
No correlation was found between the amount of fluids administered and the change in ELWI.
Conclusion.
Fluid loading guided by SVV in hypovolemic and fully mechanically ventilated patients in sinus rhythm does not increase ELWI.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ferrando, Carlos& Aguilar, Gerardo& Belda, F. Javier. 2012. Extravascular Lung Water Does Not Increase in Hypovolemic Patients after a Fluid-Loading Protocol Guided by the Stroke Volume Variation. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-472285
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ferrando, Carlos…[et al.]. Extravascular Lung Water Does Not Increase in Hypovolemic Patients after a Fluid-Loading Protocol Guided by the Stroke Volume Variation. Critical Care Research and Practice No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-472285
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ferrando, Carlos& Aguilar, Gerardo& Belda, F. Javier. Extravascular Lung Water Does Not Increase in Hypovolemic Patients after a Fluid-Loading Protocol Guided by the Stroke Volume Variation. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-472285
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-472285
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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