keyword
MENU ▼
Read by QxMD icon Read
search

Fluid management postoperative cardiac surgery

keyword
https://www.readbyqxmd.com/read/27903339/-effect-of-goal-directed-haemodynamic-management-on-the-postoperative-outcome-in-elderly-patients-with-fragile-cardiac-function-undergoing-abdominal-surgery
#1
L S Zheng, E W Gu, X H Peng, L Zhang, Y Y Cao
Objective: To investigate the effect of goal-directed haemodynamic management based on stroke volume variation (SVV), cardiac index (CI) and mean arterial blood pressure (MAP) on the postoperative outcome in elderly patients with fragile cardiac function undergoing gastrointestinal surgery. Methods: Ninety patients with fragile cardiac function, aged 65-90 years old, ASAⅡ or Ⅲ, NYHA Ⅱor Ⅲ, scheduled for abdominal surgery were enrolled in this study.The patients were randomly assigned to two groups: Experience anesthesia group (group E, n=45) and goal-directed hemodynamic management group (G group, n=45)...
November 22, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27624603/the-effect-of-tolvaptan-on-renal-excretion-of-electrolytes-and-urea-nitrogen-in-patients-undergoing-coronary-artery-bypass-surgery
#2
Tomoko S Kato, Hiroshi Nakamura, Mai Murata, Kishio Kuroda, Hitoshi Suzuki, Yasutaka Yokoyama, Akie Shimada, Satoshi Matsushita, Taira Yamamoto, Atsushi Amano
BACKGROUND: Adequate fluid management is an important component of patient care following cardiac surgery. Our aim in this study was to determine the benefits of tolvaptan, an oral selective vasopressin-2 receptor antagonist that causes electrolyte-free water diuresis, in postoperative fluid management. We prospectively examined the effect of tolvaptan on renal excretion of electrolytes and urea nitrogen in cardiac surgery patients. METHODS: Patients undergoing coronary artery bypass surgery were randomized to receive conventional loop diuretics (Group C, n = 30) or conventional loop diuretic therapy plus tolvaptan (Group T, n = 27)...
2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27591466/intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#3
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27517082/surgical-management-of-massive-pericardial-effusion-and-predictors-for-development-of-constrictive-pericarditis-in-a-resource-limited-setting
#4
Emeka B Kesieme, Peter O Okokhere, Christopher Ojemiega Iruolagbe, Angela Odike, Clifford Owobu, Theophilus Akhigbe
Background. The diagnosis and treatment of massive pericardial effusion and cardiac tamponade have evolved over the years with a tendency towards a more comprehensive diagnostic workup and less traumatic intervention. Method. We reviewed and analysed the data of 32 consecutive patients who underwent surgery on account of massive pericardial effusion and cardiac tamponade in a semiurban university hospital in Nigeria from February 2010 to February 2016. Results. The majority of patients (34.4%) were between 31 and 40 years...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27445258/-intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#5
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27379922/effects-of-short-term-administration-of-tolvaptan-after-open-heart-surgery
#6
Katsuhiko Matsuyama, Nobusato Koizumi, Toshiya Nishibe, Tomoaki Iwasaki, Toru Iwahasi, Kayo Toguchi, Satoshi Takahashi, Akinari Iwahori, Keita Maruno, Hitoshi Ogino
BACKGROUND: Postoperative fluid overload following cardiac surgery is associated with increased morbidity and mortality. Unlike loop diuretics, tolvaptan (TLV) promotes aquaretic effect. Relatively little has been documented regarding the efficacy of TLV after cardiac surgery. The aim of the study was to investigate the effectiveness and safety of tolvaptan for the management of immediately postoperative fluid retention following cardiac surgery. METHODS: Between January to May 2014, patients undergoing cardiac surgery were randomly assigned to control or TLV group immediately after cardiac surgery...
October 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27267175/ultrasonographic-caval-indices-do-not-significantly-contribute-to-predicting-fluid-responsiveness-immediately-after-coronary-artery-bypass-grafting-when-compared-to-passive-leg-raising
#7
Dorota Sobczyk, Krzysztof Nycz, Pawel Andruszkiewicz, Karol Wierzbicki, Maciej Stapor
BACKGROUND: Appropriate fluid management is one of the most important elements of early goal-directed therapy after cardiothoracic surgery. Reliable determination of fluid responsivenss remains the fundamental issue in volume therapy. The purpose of the study was to assess the usefulness of dynamic IVC-derived parameters (collapsibility index, distensibility index) in comparison to passive leg raising, in postoperative fluid management in mechanically ventilated patients with left ventricular ejection fraction ≥ 30 %, immediately after elective coronary artery bypass grafting...
June 8, 2016: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/26873025/goal-directed-hemodynamic-therapy-based-in-esophageal-doppler-flow-parameters-a-systematic-review-meta-analysis-and-trial-sequential-analysis
#8
J Ripollés-Melchor, R Casans-Francés, A Espinosa, A Abad-Gurumeta, A Feldheiser, F López-Timoneda, J M Calvo-Vecino
BACKGROUND: Numerous studies have compared perioperative esophageal doppler monitoring (EDM) guided intravascular volume replacement strategies with conventional clinical volume replacement in surgical patients. The use of the EDM within hemodynamic algorithms is called 'goal directed hemodynamic therapy' (GDHT). METHODS: Meta-analysis of the effects of EDM guided GDHT in adult non-cardiac surgery on postoperative complications and mortality using PRISMA methodology...
August 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/26771728/outcome-of-extensive-descending-aorta-repair-adopting-present-concepts-of-spinal-cord-preservation
#9
Kay H Park, Cheong Lim, Tae H Kim, Il Park, Yochum Jung
BACKGROUND: Preoperative radiological identification of the Adamkiewicz artery and intraoperative neurologic monitoring are known to be helpful for preventing paraplegia after thoracoabdominal aorta replacement. To answer whether they should be used routinely, we investigated the incidence of spinal cord ischemia after extensive descending aortic repair without using such modalities. METHODS: We retrospectively reviewed the outcome of 95 patients who underwent extensive descending thoracic (DTA) or thoracoabdominal aorta (TAA) repair without the Adamkiewicz artery identification or neurologic monitoring from 2006 through 2010...
February 2016: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/26726710/efficacy-of-tolvaptan-in-patients-with-volume-overload-after-cardiac-surgery
#10
Kenichiro Noguchi, Masashi Tanaka, Ikuo Katayama, Tsuyoshi Yamabe, Daisuke Yuji, Norikazu Oosiro, Miyo Sirouzu
BACKGROUND: The vasopressin type 2 receptor antagonist tolvaptan (TLV) has recently become available for treating congestion. However, there is no evidence confirming the efficacy of TLV for patients with volume overload after cardiac surgery. Here, we retrospectively studied the efficacy of TLV in patients with volume overload after cardiac surgery. METHODS: We enrolled a total of 39 patients who had volume overload after cardiac surgery and who were treated with our protocol of body fluid management...
2015: Heart Surgery Forum
https://www.readbyqxmd.com/read/26683875/intestinal-transplantation-the-anesthesia-perspective
#11
REVIEW
Aparna Dalal
Intestinal transplantation is a complex and challenging surgery. It is very effective for treating intestinal failure, especially for those patients who cannot tolerate parenteral nutrition nor have extensive abdominal disease. Chronic parental nutrition can induce intestinal failure associated liver disease (IFALD). According to United Network for Organ Sharing (UNOS) data, children with intestinal failure affected by liver disease secondary to parenteral nutrition have the highest mortality on a waiting list when compared with all candidates for solid organ transplantation...
April 2016: Transplantation Reviews
https://www.readbyqxmd.com/read/26669642/a-double-blinded-randomized-placebo-controlled-clinical-trial-of-aminophylline-to-prevent-acute-kidney-injury-in-children-following-congenital-heart-surgery-with-cardiopulmonary-bypass
#12
RANDOMIZED CONTROLLED TRIAL
David M Axelrod, Scott M Sutherland, Andrew Anglemyer, Paul C Grimm, Stephen J Roth
OBJECTIVES: Acute kidney injury occurs commonly in children following congenital cardiac surgery with cardiopulmonary bypass and has been associated with increased morbidity and mortality. Aminophylline, a methylxanthine nonselective adenosine receptor antagonist, has been effective in the management of acute kidney injury in certain populations. This study sought to determine whether postoperative administration of aminophylline attenuates acute kidney injury in children undergoing congenital cardiac surgery with cardiopulmonary bypass...
February 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/26535507/colloids-for-the-initial-management-of-severe-sepsis-and-septic-shock-in-pediatric-patients-a-systematic-review
#13
REVIEW
Daniela Nasu Monteiro Medeiros, Juliana Ferreira Ferranti, Artur Figueiredo Delgado, Werther Brunow de Carvalho
AIM: The goal of this study was to perform a systematic review of the literature assessing the use of colloids for the initial treatment of severe sepsis and septic shock in pediatric patients. DESIGN: The PICO [Patient, Intervention, Comparison, Outcome] method was used for the selection of studies, and the Cochrane Bias Tool was used to analyze the quality of the selected studies. DATA SEARCH: Relevant studies were sought using the following databases: EMBASE (1980 to March 2014), PubMed (1970 to March 2014), Cochrane (1980 to March 2014), Web of Science, and Scopus...
November 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26411431/effects-of-tolvaptan-in-the-early-postoperative-stage-after-heart-valve-surgery-results-of-the-star-study-of-tolvaptan-for-fluid-retention-after-valve-surgery-trial
#14
Hiroyuki Nishi, Koichi Toda, Shigeru Miyagawa, Yasushi Yoshikawa, Satsuki Fukushima, Masashi Kawamura, Daisuke Yoshioka, Tetsuya Saito, Takayoshi Ueno, Toru Kuratani, Yoshiki Sawa
PURPOSE: The purpose of this study was to assess the efficacy of tolvaptan, a vasopressin V2 receptor antagonist, for the management of postoperative surgical fluid retention after heart valve surgery. METHODS: This was a prospective observational study of 64 patients with heart valve disease who underwent valve surgery between 2013 and 2014. Those in the tolvaptan group received tolvaptan in addition to conventional diuretic therapy. The results were compared to the results of 55 patients who underwent heart valve surgery between 2007 and 2010 and received conventional postoperative diuretics alone...
December 2015: Surgery Today
https://www.readbyqxmd.com/read/26390675/acute-kidney-injury-subsequent-to-cardiac-surgery
#15
REVIEW
Robert S Kramer, Crystal R Herron, Robert C Groom, Jeremiah R Brown
Acute kidney injury (AKI) after cardiac surgery is a common and underappreciated syndrome that is associated with poor shortand long-term outcomes. AKI after cardiac surgery may be epiphenomenon, a signal for adverse outcomes by virtue of other affected organ systems, and a consequence of multiple factors. Subtle increases in serum creatinine (SCr) postoperatively, once considered inconsequential, have been shown to reflect a kidney injury that likely occurred in the operating room during cardiopulmonary bypass (CPB) and more often in susceptible individuals...
March 2015: Journal of Extra-corporeal Technology
https://www.readbyqxmd.com/read/26348011/delayed-hyponatremia-is-the-most-common-cause-of-30-day-unplanned-readmission-after-transsphenoidal-surgery-for-pituitary-tumors
#16
MULTICENTER STUDY
Michael A Bohl, Shah Ahmad, Heidi Jahnke, Deborah Shepherd, Laura Knecht, William L White, Andrew S Little
BACKGROUND: Unplanned readmission after surgical procedures is an important quality metric. Yet, readmission rates and causes have not been evaluated for patients after transsphenoidal surgery for pituitary tumors. OBJECTIVE: To analyze unplanned 30-day readmissions at a pituitary center and to encourage the development of effective clinical pathways to prevent readmission. METHODS: A retrospective review of adult patients who underwent transsphenoidal surgery for pituitary lesions at Barrow Neurological Institute (January 2011-March 2014) was performed to identify causes of unplanned readmission within 30 days of surgery...
January 2016: Neurosurgery
https://www.readbyqxmd.com/read/26310413/fluid-administration-vasopressor-use-and-patient-outcomes-in-a-group-of-high-risk-cardiac-surgical-patients-receiving-postoperative-goal-directed-haemodynamic-therapy-a-pilot-study
#17
L J C Walker, P J Young
The role of goal-directed therapy in high-risk cardiac surgical patients has not been determined. This study sought to observe the effect of a postoperative standardised haemodynamic protocol (SHP) on the administration of fluid and vasoactive drugs after high-risk cardiac surgery. This was an interventional pilot study. In 2010 to 2011, the SHP was introduced to the ICU at Wellington Regional Hospital, Wellington, New Zealand, for the perioperative management of patients undergoing high-risk cardiac surgery...
September 2015: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26211763/-perioperative-fluid-management-in-gastrointestinal-surgery
#18
Yanna Pi, Sanqing Jin
Perioperative fluid management in gastrointestinal surgery is one of the key points to maintain sufficient blood perfusion and oxygen delivery for the organs, tissues and cells. Different strategies of fluid management have different influences on postoperative complications and mortality. After systematic review of related literature, we found that compared with the conventional liberal liquid administration, restricted liquid management and goal directed liquid management would benefit patients in general...
July 2015: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/26121812/-perioperative-management-of-emergency-gastrointestinal-surgery-in-a-patient-with-left-ventricular-non-compaction
#19
Takuya Kurazumi, Takeshi Suzuki, Satoshi Ideno, Takahiro Sakuma, Mari Nagafuchi, Tomoyuki Sato, Junya Oshida
Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy characterized by heart failure, arrhythmia, and embolic events. A 65-year-old man, previously diagnosed as LVNC, was admitted to the emergency department with severe abdominal pain. He was diagnosed as appendicitis and treated conservatively with antibiotics. The echocardiogram examination showed left ventricular ejection fraction of less than 25%, and his B-type natriuretic peptide assay was > 5,000 pg x ml(-1) on admission. Ten days after admission, he underwent emergency surgery for suspected perforation of vermiform appendix...
February 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26087265/novel-therapy-for-renal-protection
#20
REVIEW
Alexander Zarbock, Kindgen Milles
PURPOSE OF REVIEW: Acute kidney injury (AKI) is a common and serious complication that significantly increases morbidity, mortality, and cost of care after surgery. In this article, we review recent studies that deal with strategies for renal protection and the prevention of AKI after surgery. RECENT FINDINGS: A prerequisite for any prophylactic intervention is the identification of patients at risk for AKI or those with acute kidney damage before kidney function deteriorates...
August 2015: Current Opinion in Anaesthesiology
keyword
keyword
120622
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"