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REVIEW
Nikolaos J Skubas, Jeannie Callum, Aarti Bathla, Homa Keshavarz, Dean Fergusson, Bovey Wu, Simon Stanworth, Nadine Shehata
BACKGROUND: Intravenous albumin is commonly utilised in cardiovascular surgery for priming of the cardiopulmonary bypass circuit, volume replacement, or both, although the evidence to support this practice is uncertain. The aim was to compare i.v. albumin with synthetic colloids and crystalloids for paediatric and adult patients undergoing cardiovascular surgery for all-cause mortality and other perioperative outcomes. METHODS: A systematic review and meta-analysis of randomised controlled trials (RCTs) of i...
February 2024: British Journal of Anaesthesia
#2
REVIEW
Juan V Lorente, Robert G Hahn, José L Jover, Enrique Del Cojo, Mónica Hervías, Ignacio Jiménez, Rafael Uña, Fernando Clau-Terré, Manuel I Monge, Juan V Llau, Maria J Colomina, Javier Ripollés-Melchor
Perioperative fluid management, a critical aspect of major surgeries, is characterized by pronounced stress responses, altered capillary permeability, and significant fluid shifts. Recognized as a cornerstone of enhanced recovery protocols, effective perioperative fluid management is crucial for optimizing patient recovery and preventing postoperative complications, especially in high-risk patients. The scientific literature has extensively investigated various fluid infusion regimens, but recent publications indicate that not only the volume but also the type of fluid infused significantly influences surgical outcomes...
September 12, 2023: Journal of Clinical Medicine
#3
JOURNAL ARTICLE
J Ripollés-Melchor, M J Colomina, C Aldecoa, J Alonso-Cabello, J M Alonso-Íñigo, H Aya, M Basora, F Clau-Terre, E Del Cojo-Peces, F Cota-Delgado, R Ferrandis-Comes, P Galán-Menéndez, D García-López, I Garruti, I J López, J L Jover-Pinillos, J V Llau-Pitarch, J V Lorente, J Mesquida, I Mojarro, M I Monge-García, S C Montesinos-Fadrique, J L Muñoz-Rodes, M de Nadal, F Ramasco, J L Tomé-Roca, A Pérez, R Uña-Orejón, G Yanes, A Zorrilla-Vaca, D Escarraman, J García-Fernández
BACKGROUND: Research in fluid therapy and perioperative hemodynamic monitoring is difficult and expensive. The objectives of this study were to summarize these topics and to prioritize these topics in order of research importance. METHODS: Electronic structured Delphi questionnaire over three rounds among 30 experts in fluid therapy and hemodynamic monitoring identified through the Fluid Therapy and Hemodynamic Monitoring Subcommittee of the Hemostasis, Transfusion Medicine and Fluid Therapy Section of the Spanish Society of Anesthesiology and Critical Care...
June 4, 2023: Revista española de anestesiología y reanimación
#4
JOURNAL ARTICLE
J L Jover Pinillos, M Basora Macaya, J Ripollés-Melchor, R Ferrandis Comes, J V Llau Pitarch, M J Colomina Soler
INTRODUCTION: Fluid administration is the cornerstone in hypovolemic patient's reanimation. Clinical guidelines restrict colloid administration favouring crystalloids. Currently, we don't know exactly which is the daily clinical practice during the perioperative period. The objective of this study is to describe perioperative use of colloids analysing possible reasons aiming to use them. MATERIAL AND METHODS: Prospective, cross-section, national, multicentre observational study...
April 2023: Revista española de anestesiología y reanimación
#5
REVIEW
Mervin V Loi, Qi Y Wang, Jan H Lee
Dengue is a mosquito-borne arboviral infection of increasing public health importance. Globally, children account for a significant proportion of infections. No pathogen-specific treatment currently exists, and the current approach to reducing disease burden is focused on preventative strategies such as vector control, epidemiological interventions, and vaccination in selected populations. Once infected, the mainstay of treatment is supportive, of which appropriate fluid management is a cornerstone. The timely provision of fluid boluses has historically been central to the management of septic shock...
February 2023: Minerva pediatrics
#6
JOURNAL ARTICLE
Corrin J Boyd, Anthea L Raisis, Claire R Sharp, Melissa A Claus, Giselle Hosgood, Lisa Smart
Synthetic colloid fluids containing hydroxyethyl starch (HES) have been associated with impairment of coagulation in dogs. It is unknown if HES causes coagulation impairment in dogs with naturally occurring critical illness. This study used banked plasma samples from a blinded, randomized clinical trial comparing HES and balanced isotonic crystalloid for bolus fluid therapy in 39 critically ill dogs. Blood was collected prior to fluid administration and 6, 12, and 24 h thereafter. Coagulation biomarkers measured at each time point included prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen concentration, and the activities of coagulation factors V, VII, VIII, IX, and X, von Willebrand factor antigen, antithrombin, and protein C...
October 6, 2022: Animals: An Open Access Journal From MDPI
#7
MULTICENTER STUDY
Maria J Colomina, Javier Ripollés-Melchor, Patricia Guilabert, José Luis Jover, Misericordia Basora, Concha Cassinello, Raquel Ferrandis, Juan V Llau, Judith Peñafiel
BACKGROUND: Perioperative fluid therapy management is changing due to the incorporation of different fluids, surgical techniques, and minimally invasive monitoring systems. The objective of this study was to explore fluid therapy management during the perioperative period in our country. METHODS: We designed the Fluid Day study as a cross-sectional, multicentre, observational study. The study was performed in 131 Spanish hospitals in February 2019. We included adult patients undergoing general anaesthesia for either elective or non-elective surgery...
December 13, 2021: BMC Anesthesiology
#8
JOURNAL ARTICLE
Nicholas J Fischer, Ian D Civil
BACKGROUND: Severe liver trauma can cause major haemorrhage and death. Haemostatic resuscitation principles are associated with improved survival in trauma patients with major haemorrhage. We hypothesised death from liver haemorrhage decreased in parallel with the introduction of haemostatic resuscitation. AIM: To establish the incidence of haemorrhagic death in patients with severe liver trauma and review how outcomes in two time periods associate with changes in resuscitation practice...
January 2022: ANZ Journal of Surgery
#9
JOURNAL ARTICLE
B S Sukovatykh, A V Sereditskiĭ, A M Azarov, V F Muradian, M B Sukovatykh, A A Lapinas
Presented in this article is a clinical case report regarding treatment of a patient with deep vein thrombosis complicated by venous gangrene having developed 10 days after the onset of the disease. Conservative therapy (infusion of colloids and crystalloids, anticoagulants, agents improving microcirculation, venotonics, nonsteroidal anti-inflammatory drugs, elevated position of the limb) made it possible to stabilize the patient's condition, but not improving haemodynamics of the affected limb. A decision was made to use endovascular techniques...
2021: Angiology and Vascular Surgery
#10
JOURNAL ARTICLE
Flavio Geraldo Rezende de Freitas, Naomi Hammond, Yang Li, Luciano Cesar Pontes de Azevedo, Alexandre Biasi Cavalcanti, Leandro Taniguchi, André Gobatto, André Miguel Japiassú, Antonio Tonete Bafi, Bruno Franco Mazza, Danilo Teixeira Noritomi, Felipe Dal-Pizzol, Fernando Bozza, Jorge Ibrahin Figueira Salluh, Glauco Adrieno Westphal, Márcio Soares, Murillo Santucci César de Assunção, Thiago Lisboa, Suzana Margarete Ajeje Lobo, Achilles Rohlfs Barbosa, Adriana Fonseca Ventura, Ailson Faria de Souza, Alexandre Francisco Silva, Alexandre Toledo, Aline Reis, Allan Cembranel, Alvaro Rea Neto, Ana Lúcia Gut, Ana Patricia Pierre Justo, Ana Paula Santos, André Campos D de Albuquerque, André Scazufka, Antonio Babo Rodrigues, Bruno Bonaccorsi Fernandino, Bruno Goncalves Silva, Bruno Sarno Vidal, Bruno Valle Pinheiro, Bruno Vilela Costa Pinto, Carlos Augusto Ramos Feijo, Carlos de Abreu Filho, Carlos Eduardo da Costa Nunes Bosso, Carlos Eduardo Nassif Moreira, Carlos Henrique Ferreira Ramos, Carmen Tavares, Cidamaiá Arantes, Cintia Grion, Ciro Leite Mendes, Claudio Kmohan, Claudio Piras, Cristine Pilati Pileggi Castro, Cyntia Lins, Daniel Beraldo, Daniel Fontes, Daniela Boni, Débora Castiglioni, Denise de Moraes Paisani, Durval Ferreira Fonseca Pedroso, Ederson Roberto Mattos, Edgar de Brito Sobrinho, Edgar M V Troncoso, Edison Moraes Rodrigues Filho, Eduardo Enrico Ferrari Nogueira, Eduardo Leme Ferreira, Eduardo Souza Pacheco, Euzebio Jodar, Evandro L A Ferreira, Fabiana Fernandes de Araujo, Fabiana Schuelter Trevisol, Fábio Ferreira Amorim, Fabio Poianas Giannini, Fabrício Primitivo Matos Santos, Fátima Buarque, Felipe Gallego Lima, Fernando Antonio Alvares da Costa, Fernando Cesar Dos Anjos Sad, Fernando G Aranha, Fernando Ganem, Flavio Callil, Francisco Flávio Costa Filho, Frederico Toledo Campo Dall Arto, Geovani Moreno, Gilberto Friedman, Giulliana Martines Moralez, Guilherme Abdalla da Silva, Guilherme Costa, Guilherme Silva Cavalcanti, Guilherme Silva Cavalcanti, Gustavo Navarro Betônico, Gustavo Navarro Betônico, Hélder Reis, Helia Beatriz N Araujo, Helio Anjos Hortiz Júnior, Helio Penna Guimaraes, Hugo Urbano, Israel Maia, Ivan Lopes Santiago Filho, Jamil Farhat Júnior, Janu Rangel Alvarez, Joel Tavares Passos, Jorge Eduardo da Rocha Paranhos, José Aurelio Marques, José Gonçalves Moreira Filho, Jose Neto Andrade, José Onofre de C Sobrinho, Jose Terceiro de Paiva Bezerra, Juliana Apolônio Alves, Juliana Ferreira, Jussara Gomes, Karina Midori Sato, Karine Gerent, Kathia Margarida Costa Teixeira, Katia Aparecida Pessoa Conde, Laércia Ferreira Martins, Lanese Figueirêdo, Leila Rezegue, Leonardo Tcherniacovsk, Leone Oliveira Ferraz, Liane Cavalcante, Ligia Rabelo, Lilian Miilher, Lisiane Garcia, Luana Tannous, Ludhmila Abrahão Hajjar, Luís Eduardo Miranda Paciência, Luiz Monteiro da Cruz Neto, Macia Valeria Bley, Marcelo Ferreira Sousa, Marcelo Lourencini Puga, Marcelo Luz Pereira Romano, Marciano Nobrega, Marcio Arbex, Márcio Leite Rodrigues, Márcio Osório Guerreiro, Marcone Rocha, Maria Angela Pangoni Alves, Maria Angela Pangoni Alves, Maria Doroti Rosa, Mariza D'Agostino Dias, Miquéias Martins, Mirella de Oliveira, Miriane Melo Silveira Moretti, Mirna Matsui, Octavio Messender, Orlando Luís de Andrade Santarém, Patricio Júnior Henrique da Silveira, Paula Frizera Vassallo, Paulo Antoniazzi, Paulo César Gottardo, Paulo Correia, Paulo Ferreira, Paulo Torres, Pedro Gabrile M de Barros E Silva, Rafael Foernges, Rafael Gomes, Rafael Moraes, Raimundo Nonato Filho, Renato Luis Borba, Renato V Gomes, Ricardo Cordioli, Ricardo Lima, Ricardo Pérez López, Ricardo Rath de Oliveira Gargioni, Richard Rosenblat, Roberta Machado de Souza, Roberto Almeida, Roberto Camargo Narciso, Roberto Marco, Roberto Waltrick, Rodrigo Biondi, Rodrigo Figueiredo, Rodrigo Santana Dutra, Roseane Batista, Rouge Felipe, Rubens Sergio da Silva Franco, Sandra Houly, Sara Socorro Faria, Sergio Felix Pinto, Sergio Luzzi, Sergio Sant'ana, Sergio Sonego Fernandes, Sérgio Yamada, Sérgio Zajac, Sidiner Mesquita Vaz, Silvia Aparecida Bezerra Bezerra, Tatiana Bueno Tardivo Farhat, Thiago Martins Santos, Tiago Smith, Ulysses V A Silva, Valnei Bento Damasceno, Vandack Nobre, Vicente Cés de Souza Dantas, Vivian Menezes Irineu, Viviane Bogado, Wagner Nedel, Walther Campos Filho, Weidson Dantas, William Viana, Wilson de Oliveira Filho, Wilson Martins Delgadinho, Simon Finfer, Flavia Ribeiro Machado
OBJECTIVE: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. METHODS: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice...
2021: Revista Brasileira de Terapia Intensiva
#11
JOURNAL ARTICLE
Denis E Bragin, Olga A Bragina, Lucy Berliba, Marina V Kameneva, Edwin M Nemoto
Hemorrhagic shock (HS) is a severe complication of traumatic brain injury (TBI) that doubles mortality due to severely compromised microvascular cerebral blood flow (mvCBF) and oxygen delivery reduction, as a result of hypotension. Volume expansion with resuscitation fluids (RF) for HS does not improve microvascular CBF (mvCBF); moreover, it aggravates brain edema. We showed that the addition of drag-reducing polymers (DRP) to crystalloid RF (lactated Ringer's) significantly improves mvCBF, oxygen supply, and neuronal survival in rats suffering TBI+HS...
2021: Advances in Experimental Medicine and Biology
#12
JOURNAL ARTICLE
Jan Harald Nilsen, Torstein Schanche, Timofei V Kondratiev, Olav Hevrøy, Gary C Sieck, Torkjel Tveita
NEW FINDINGS: What is the central question of this study? Detailed guidelines for volume replacement to counteract hypothermia-induced intravascular fluid loss are lacking. Evidence suggests colloids might have beneficial effects compared to crystalloids. Are central haemodynamic function and level of hypothermia-induced calcium overload, as a marker of cardiac injury, restored by fluid substitution during rewarming, and are colloids favourable to crystalloids? What is the main finding and its importance? Infusion with crystalloid or dextran during rewarming abolished post-hypothermic cardiac dysfunction, and partially mitigated myocardial calcium overload...
May 2021: Experimental Physiology
#13
JOURNAL ARTICLE
Matthias Jacob, Sambit Sahu, Yogendra P Singh, Yatin Mehta, Kuang-Yao Yang, Shuenn-Wen Kuo, Farooq Memom, Shirish Prayag, Rajesh Pande, Nirmal Jaiswal, Tan C Cheng, Amit Mandal, Shanti R Deva, Mohan Mathew, Nagarajan Ramakrishnan, Vineya Rai, Luah Wah, Gopinath Ramachandran, Rajesh Chawla, Z A Khan, J V Divatia, Rajesh Mishra, Pravin Amin, Jayant Shelgaokar, Bernhard Zwissler, Hugo Van Aken, Christian Ertmer
Introduction: Fluid therapy in critically ill patients, especially timing and fluid choice, is controversial. Previous randomized trials produced conflicting results. This observational study evaluated the effect of colloid use on 90-day mortality and acute kidney injury (RIFLE F) within the Rational Fluid Therapy in Asia (RaFTA) registry in intensive care units. Materials and methods: RaFTA is a prospective, observational study in Asian intensive care unit (ICU) patients focusing on fluid therapy and related outcomes...
November 2020: Indian Journal of Critical Care Medicine
#14
COMPARATIVE STUDY
Lukas M Löffel, Robert G Hahn, Dominique Engel, Patrick Y Wuethrich
BACKGROUND: The intraoperative effect of 20% albumin on plasma volume during surgery involving major blood loss has not been explored extensively due to methodological difficulties. Crystalloids poorly expand the plasma volume, and using a colloid might then be a way to avoid fluid overload. As doubts have been raised about synthetic colloids, albumin solutions are currently used more extensively. This study presents a methodological development showing how plasma volume expansion can be studied in surgical settings with the coinfusion of 20% albumin and lactated Ringer's solution...
August 1, 2021: Anesthesia and Analgesia
#15
JOURNAL ARTICLE
Kaitlin Morte, John Kuckelman, Christopher Marenco, Daniel Lammers, Jason Bingham, Matthew Eckert
BACKGROUND: Several studies have identified sex as a factor influencing early outcomes after trauma. With the increased representation of women in combat roles, there is a need for improved understanding of the pathophysiology of traumatic injury in women. The purpose of this study was to define sex-based differences in early combat trauma outcomes amongst military service members. METHODS: A retrospective review of the Department of Defense Trauma Registry between 2008 and 2016 was performed...
August 2020: Journal of Trauma and Acute Care Surgery
#16
REVIEW
Hiroshi Azuma, Hiromi Sakai
The blood supply system for transfusions in Japan functions well. However, in cases of sudden hemorrhagic shock, the swift supply of red blood cell (RBC) product might be difficult, particularly when medical care is required in remote regions and in obstetric medicine, where there is always a risk of hemorrhage. Blood pressure maintenance by infusion of volume expanders, such as crystalloids or colloids, may be insufficient to preserve the function of vital organs because they do not contain any oxygen-carrying molecules...
2019: [Rinshō Ketsueki] the Japanese Journal of Clinical Hematology
#17
JOURNAL ARTICLE
Piers Aw Thomas, Laurence Ag Marshman, Donna Rudd, Claire Moffat, Paul S Mitchell
BACKGROUND: To explain why some chronic subdural haematomas (CSDH) grow/resorb, a physically decreasing outer-membrane (OM) surface-area:CSDH.volume (SA:V) has been re-explored, and a 'critical' CSDH size inferred (OM.SA≈V). Gardner showed that, since CSDH-protein exceeded CSF-protein, CSF→CSDH osmosis occurred across a semi-permeable inner-membrane (n=1). By contrast, Zollinger & Gross demonstrated that serum→CSDH osmosis could also occur across the OM (n=1). Notably, Weir refuted Zollinger & Gross by finding equal CSDH and serum total-protein (n=20): however, Weir did not refute Gardner...
September 4, 2019: World Neurosurgery
#18
JOURNAL ARTICLE
Fatemeh Khosravi, Mojgan Alishahi, Yaser Khanchemehr, Hashem Jarineshin
Introduction: The most common complications after spinal anesthesia for Cesarean section is hypotension. Administration of intravenous crystalloid or colloid fluid before the induction of anesthesia is a way to prevent it. Aim: The aim of this study was to compare the effects of preloading with ringer's solution and Voluven on hemodynamic changes in patients underwent elective Caesarean section under spinal anesthesia. Methods: This study was conducted on 70 pregnant women...
February 2019: Medical Archives
#19
JOURNAL ARTICLE
Jan Hanot, Adil R Dingankar, V Ben Sivarajan, Cathy Sheppard, Dominic Cave, Gonzalo Garcia Guerra
OBJECTIVES: To determine common practice for fluid management after cardiac surgery for congenital heart disease among pediatric cardiac intensivists. DESIGN: A survey consisting of 17 questions about fluid management practices after pediatric cardiac surgery. Distribution was done by email, social media, World Federation of Pediatric Intensive and Critical Care Societies website, and World Federation of Pediatric Intensive and Critical Care Societies newsletter using the electronic survey distribution and collection system Research Electronic Data Capture...
April 2019: Pediatric Critical Care Medicine
#20
RANDOMIZED CONTROLLED TRIAL
K Bhaskaran, Ganapathy Arumugam, P V Vinay Kumar
CONTEXT AND AIMS: Off-pump coronary artery bypass graft (OPCABG) is a form of CABG surgery. It is performed without the use of cardiopulmonary bypass machine as a surgical treatment for coronary heart disease. Acute kidney injury (AKI) is one of the common postoperative complications of OPCABG. Previous studies suggest important differences related to intravenous fluid (IVF) chloride content and renal function. We hypothesize that perioperative use of chloride restricted IVFs may decrease incidence and severity of postoperative AKI in patients undergoing OPCABG...
October 2018: Annals of Cardiac Anaesthesia
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