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Naslov:Fluid therapy: double-edged sword during critical care?
Avtorji:Monnet, Xavier (Avtor)
Benes, Jan (Avtor)
Molnar, Zsolt (Avtor)
Voga, Gorazd (Avtor)
Lainščak, Mitja (Avtor)
Kuzkov, Vsevolod (Avtor)
Kirov, Mikhail (Avtor)
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:SB-CE - Splošna bolnišnica Celje
Povzetek:Fluid therapy is still the mainstay of acute care in patients with shock or cardiovascular compromise. However, our understanding of the critically ill pathophysiology has evolved significantly in recent years.The revelation of the glycocalyx layer and subsequent research has redefined the basics of fluids behavior in the circulation. Using less invasive hemodynamic monitoring tools enables us to assess the cardiovascular function in a dynamic perspective. This allows pinpointing even distinct changes induced by treatment, by postural changes, or by interorgan interactions in real time and enables individualized patient management. Regarding fluids as drugs of any other kind led to the need for precise indication, way of administration, and also assessment of side effects.We possess now the evidence that patient centered outcomes may be altered when incorrect time, dose, or type of fluids are administered. In this review, three major features of fluid therapy are discussed: the prediction of fluid responsiveness, potential harms induced by overzealous fluid administration, and finally the problem of protocol-led treatments and their timing.
Leto izida:2015
ISSN:2314-6141
UDK:616
OceCobissID:30624729 Povezava se odpre v novem oknu
COBISS_ID:737955 Povezava se odpre v novem oknu
DOI:10.1155/2015/729075 Povezava se odpre v novem oknu
Število ogledov:140
Število prenosov:1
Datoteke:URL http://www.hindawi.com/journals/bmri/2015/729075/
 
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
Avtorske pravice:© 2015 Jan Benes et al.
Licenca:Priznanje avtorstva Novo okno
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