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
Article
Dans Espagnol
| 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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Surveillance peropératoire
/
Colectomie
/
Échocardiographie transoesophagienne
/
Traitement par apport liquidien
/
Hémodynamique
Type d'étude:
Essai clinique contrôlé
/
Étude observationnelle
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2011
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Pontificia Universidad Católica de Chile/CL
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