Aporte de volumen en el perioperatorio: ¿debemos modificar nuestro enfoque? / Transesophageal echocardiography to monitor fluid administration during the perioperative period
Rev. méd. Chile
;
139(9): 1157-1162, set. 2011. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-612239
ABSTRACT
Background:
During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements.Aim:
To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters. Material andMethods:
Twenty-four patients subjected to colon resection were randomized to monitoring by electrocardiography, blood and central venous pressure, or by transesophageal echocardiography. In the latter, volume administration was adjusted to maintain basal values of left ventricular end diastolic volume and cardiac index.Results:
Patients with the standard monitoring system and transesophageal echocardiographic monitoring received 21.1±12 and 6.3 ± 2 ml/kg/h of fluids during the perioperative period, respectively (p < 0.01).Conclusions:
The use of transesophageal echocardiography significantly reduced the perioperative fluid administration.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Monitoreo Intraoperatorio
/
Colectomía
/
Ecocardiografía Transesofágica
/
Fluidoterapia
/
Hemodinámica
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio observacional
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2011
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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