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
Artigo
em Espanhol
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Monitorização Intraoperatória
/
Colectomia
/
Ecocardiografia Transesofagiana
/
Hidratação
/
Hemodinâmica
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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