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Cristalloids

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https://www.readbyqxmd.com/read/26510109/-hyperbaric-therapy-and-diving-medicine-diving-medicine-present-state-and-prospects
#1
REVIEW
Bernd Winkler, Claus-Martin Muth, Tim Piepho
The diving accident (decompression incident, DCI) occurs in the decompression phase of dives. The DCI can either be caused by an arterial gas embolism (AGE) subsequent to a pulmonary barotrauma or by the formation of inert gas bubbles subsequent to a reduction of ambient pressure during the ascent from depth. In contrast to the traditional assumption that decompression incidents only occur if decompression rules are neglected, recent data indicate that a vast amount of diving accidents occur even though divers adhered to the rules...
October 2015: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/23910812/episodic-idiopathic-systemic-capillary-leak-syndrome-in-a-girl
#2
Gregorio Paolo Milani, Rosa Maria Dellepiane, Massimo Luca Castellazzi, Marta Benedetta Maria Mazzoni, Mario Giovanni Bianchetti, Emilio Filippo Fossali
Episodic idiopathic systemic capillary leak syndrome is a rare disorder that presents with attacks of circulatory shock due to plasma leakage into the extravascular space. Reported here is the case of a girl who had recurrent circulatory shock. The diagnosis of episodic idiopathic systemic capillary leak syndrome was made following the fourth episode. The course was favorable following acute i.v. cristalloids and methylprednisolone.
August 2013: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/22918652/-fluid-management-which-fluid-for-what-type-of-patients
#3
REVIEW
Matthias Heringlake, Hermann Heinze, Kirk Brauer
There is a renewed discussion about the role of crystalloids and natural as well as synthetic colloids in fluid resuscitation. Based on the currently available evidence the choice of fluid replacement does not influence mortality. However, there is increasing evidence that due to unwarranted organ effects of the specific replacement fluids, individual subgroups of patients may be preferentially treated either with cristalloids or colloids.
July 2012: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/22189462/-shock-hemoconcentration-and-generalized-edema-in-a-47-year-old-man
#4
T Rahn, A Plehn, H Lemm, S Abromeit, S Dambeck, F Busanny, L Neumann, K Werdan, H Ebelt
We report the case of a 47-year-old man who was admitted because of syncope. Upon hospital admission, he rapidly developed circulatory shock with generalized edema and a severe hemoconcentration with a hematocrit of 70%. The condition was stabilized with infusion of 17 l of cristalloid fluids over a period of 24 h. After ruling out possible secondary causes, the diagnosis of a systemic capillary leak syndrome--a severe transient endothelial barrier dysfunction of unknown origin--was made. A triad of hypotension, hemoconcentration (hematocrit  >60%) and macromolecular extravasation is the typical finding; furthermore, a strong association with monoclonal gammopathy of unknown significance (MGUS) is described...
March 2012: Der Internist
https://www.readbyqxmd.com/read/21787509/embolia-cutis-medicamentosa-nicolau-syndrome-after-endodontic-treatment-a-case-report
#5
Jan-Falco Wilbrand, Martina Wilbrand, Heidrun Schaaf, Hans-Peter Howaldt, Christoph-Yves Malik, Philipp Streckbein
INTRODUCTION: Embolia cutis medicamentosa (Nicolau syndrome) is a rare iatrogenic event of tissue necrosis after intramuscular or intraarticular application of cristalloid suspensions. Clinically, it presents as a livid discoloration of the skin, local pain, and signs of inflammation. METHODS: This article presents the first case of Nicolau syndrome after the endodontic application of calcium hydroxide paste into the distal root canal of tooth 18. The patient presented to the Department for Maxillofacial Surgery and hospitalized for several days...
June 2011: Journal of Endodontics
https://www.readbyqxmd.com/read/21291577/-volume-replenishment-in-haemorrhage-caution-advised
#6
Albertus J Kooter, Sonja Zweegman, Yvo M Smulders
Acute haemorrhage is a frequent problem in medicine. Patients with acute bleeding may present with signs of hypotension and reduced organ perfusion. The physician's reflex action is often to treat such patients with intravenous volume replenishment using colloid or cristalloid liquids. Intravenous volume replenishment has, however, a downside: it increases the tendency to bleed and therefore can increase blood loss. Previous clinical observations and experimental animal and human studies addressing volume replenishment in haemorrhagic shock have repeatedly shown that accepting hypotension favourably affects prognosis...
2011: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/20694713/-acute-renal-failure-and-sepsis-just-an-organ-dysfunction-due-to-septic-multiorgan-failure
#7
REVIEW
C Schmidt, T Steinke, S Moritz, B M Graf, M Bucher
Acute renal failure (ARF) is clinically defined as an abrupt, but in principle reversible deterioration of glomerular and tubular function. Regarding pathophysiology, ARF is caused by ischemic renal conditions and toxic mediators. Sepsis is the most common cause of ARF in the intensive care unit and ARF is an independent risk factor for lethality of septic patients. Interventions to protect the kidneys against ARF include preliminary optimization of renal perfusion by volume load with cristalloid solutions and the administration of vasopressors...
August 2010: Der Anaesthesist
https://www.readbyqxmd.com/read/19662793/perioperative-management-with-glucose-solution-and-insulin
#8
RANDOMIZED CONTROLLED TRIAL
Andelko Korusić, Ada Hauptman, Ana Brundula, Viktor Duzel, Ino Husedzinović, Matija Horić, Stojanka Gasparović, Tomislav Salamon
The objective of this study was to analyze how preoperative glucose treatment influences the blood glucose level as a measured exponent of surgical stress and to establish the best postoperative replacement considering glucose solutions and insulin. This prospective clinical trial involved 208 non-diabetic patients with normal glucose tolerance, who underwent major surgical procedures and needed 24 hours ICU monitoring postoperatively. Patients were randomly given 5% glucose solution (1000 mL) one day before surgery or after overnight fasting...
June 2009: Collegium Antropologicum
https://www.readbyqxmd.com/read/18005195/enteral-vs-parenteral-nutrition-in-reconstructive-anal-surgery-a-prospective-randomized-trial
#9
RANDOMIZED CONTROLLED TRIAL
A K Joos, P Palma, J O Jonescheit, T Hasenberg, A Herold
OBJECTIVE: Early defecation after reconstructive anal surgery may influence the outcome negatively. Different methods are used to avoid bowel movements in the early postoperative period. We questioned whether stool behaviour is influenced by total parenteral nutrition as opposed to enteral nutrition with resorbable sip feeds. Furthermore, satisfaction of patients with each nutrition regime, cost differences and influence of the postoperative outcome were evaluated. METHOD: Between January and October 2004, 32 patients were evaluated in a prospective randomized, surgeon-blinded trial...
July 2008: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/16365762/-methods-of-burn-treatment-part-i-general-aspects
#10
N Pallua, S von Bülow
Burns and scalds are common injuries that present with a wide range of severity. Correct evaluation of a burn's depth and extent is essential for adequate treatment, not only initially but also for late results. The depth of a burn is classified as first-to-third degree, and its extent can be deducted from specific tables. As a generalised haemodynamic reaction, a capillary leak allows fluid and colloidal substances to leave the intravasal system. This can lead to hypovolemic shock. In the first 24 h, only cristalloid fluid according to Baxter's formula should be administered...
January 2006: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/15912438/treatment-of-inflammatory-dilated-cardiomyopathy-and-peri-myocarditis-with-immunosuppression-and-i-v-immunoglobulins
#11
REVIEW
Bernhard Maisch, Günther Hufnagel, Susanne Kölsch, Rainer Funck, Annette Richter, Heinz Rupp, Matthias Herzum, Sabine Pankuweit
OBJECTIVES: Treatment objectives in inflammatory dilated cardiomyopathy (DCMi), myocarditis (M) and peri(myo)carditis are 1) the elimination of inflammatory cells from the myocardium and pericardium, 2) the elimination or (second best) mitigation of B-cell products such as antibodies and immuncomplexes directed against cardiac epitopes such as sarcolemmal, fibrillary and mitochondrial epitopes, and 3) the eradication of the causative viral or microbial agent, if present. ANTIPHLOGISTIC TREATMENT: A "non-specific" anti-inflammatory treatment in peri(myo)carditis can be carried out with antiphlogistics (NSAIDs preferably colchicine 1-3 mg/d) independent from the presence of the infective agent...
September 2004: Herz
https://www.readbyqxmd.com/read/15645382/-highlights-in-emergency-medicine-severe-head-trauma-polytrauma-and-cardiac-arrest
#12
REVIEW
B W Böttiger, H Groeben, M Schäfer, J Heine
According to scientific publications focusing on emergency medicine and published in international journals in the past few months, new and clinically important results can be identified. In patients with severe head trauma (SHT), application of hypertonic solutions is possible; long term outcome, however, is not improved by this measure. Prehospital capnometry is important, because otherwise up to 40 % of all mechanically ventilated patients are hypoventilated. In a study in 200 patients with prehospital cardiac arrest and ventricular fibrillation as initial cardiac rhythm, subgroup analysis (alarm-response time > 5 min) showed an increase in survival rate (14 % vs...
January 2005: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/15577731/-anesthesiologists-at-the-initial-stage-of-postpartum-hemorrhage
#13
A Mignon, M Dreyfus, Y Ozier, et al.
Adequate management of postpartum hemorrhage (PPH) requires, after early recognition, four components undertaken simultaneously: communication, resuscitation, monitoring, investigating the cause of bleeding, arresting the bleeding. Early recognition of PPH relies on either a perceived or a quantified blood loss of 500-1000 ml and over (using a collecting bag), or the presence of clinical signs of shock (hypotension, tachycardia, tachypnea, altered mental status). Precise timing of the diagnosis of PPH must be must annotated...
December 2004: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/12471786/-effects-of-plasma-substitutes-on-hemostasis
#14
Y Blanloeil, M Trossaërt, J C Rigal, B Rozec
OBJECTIVE: Data synthesis on haemostasis effects of cristalloids and colloids and clinical implications for their use for plasma volume replacement. DATA SOURCES: Data were searched in the Medline database from 1954 to 2000 using the following key-words: cristalloids, colloids, albumin, gelatin, dextran, hydroxyethyl starch, haemostasis, von Willebrand disease, haemodilution. DATA EXTRACTION: Publications from 1954 to 1990 were selected depending on the quality of their methodology...
October 2002: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/11867921/hyperoxia-in-extreme-hemodilution
#15
REVIEW
O Habler, M Kleen, G Kemming, B Zwissler
Intraoperative surgical blood loss is initially replaced by infusion of red cell-free, cristalloidal or colloidal solutions. When normovolemia is maintained the ensuing dilutional anemia is compensated by an increase of cardiac output and of arterial oxygen extraction. In the ideal case, a surgical blood loss can entirely be 'bridged' without transfusion by intraoperative normovolemic hemodilution. However major blood loss results in extreme hemodilution and the transfusion of red blood cells may finally become necessary to increase arterial oxygen content and to preserve tissue oxygenation...
January 2002: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
https://www.readbyqxmd.com/read/11149635/long-term-left-ventricular-systolic-function-assessment-following-cabg-a-prospective-randomised-study-blood-versus-cristalloid-cardioplegia
#16
RANDOMIZED CONTROLLED TRIAL
Z Gasior, M Krejca, P Szmagala, A Bochenek
BACKGROUND: In an effort to define the role of blood cardioplegia delivered in antegrade/retrogade fashion in patients with either good or poor left ventricular function undergoing elective coronary artery bypass surgery, we initiated a prospective randomised study in which postoperative hemodynamics besides clinical data were compared in patients administered antegrade/retrograde crystalloid cardioplegia. METHODS: To compare the efficiency of two methods of myocardial protection--cold crystalloid ante/retro cardioplegia and cold blood ante/retro cardioplegia in two groups of patients with high and low LVEF--we randomised 122 patients for CABG...
October 2000: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/10836121/-vascular-loading-in-the-first-24-hours-following-severe-head-injuries
#17
REVIEW
N Bruder, F Gouvitsos
The main goal at the acute phase of head injury is to prevent a decrease in blood pressure, which promotes cerebral ischemia. Volume loading is therefore frequently indicated. A normal or increased plasma osmolarity should be maintained. Thus hypotonic fluids should be avoided. Hyperglycaemia is also a risk factor for brain injury and glucose use has to be restricted in the first hours after trauma. Isotonic saline 0.9% is the first solution to be infused. Lactated Ringer solutions are mildly hypotonic as approximately 114 mL of free water is contained in each litre of the solution...
April 2000: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/9750602/-prevention-of-arterial-hypotension-during-spinal-anesthesia-using-intramuscular-ephedrine-in-older-people
#18
RANDOMIZED CONTROLLED TRIAL
C Di Roio, J M Védrinne, J P Hoen, C Magnin, S Lansiaux, J C Bel, J Motin
OBJECTIVE: To assess the efficacy of intramuscular ephedrine for prevention of hypotension following subarachnoid block (SB) in the elderly. STUDY DESIGN: Prospective, randomized double blind study vs placebo. PATIENTS: Twenty patients, aged 60 years or more, of physical class ASA 2 or 3, scheduled for surgical fixation of fractured neck of femur under SB, allocated into two groups of ten each. METHODS: After oral premedication with hydroxyzine 50 mg, 90 min before surgery, and preloading with cristalloid solution 10 mL...
1997: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/9232072/-what-myocardial-protection-to-select-for-isolated-aortic-valve-replacement-a-clinical-prospective-study-of-3-cases-of-cardioplegia
#19
RANDOMIZED CONTROLLED TRIAL
F Bouchart, J P Bessou, A Tabley, B Hecketsweiller, D Mouton-Schleifer, M Redonnet, J Arrignon, R Soyer
Isolated stenosis of the aortic valve leads to left ventricular hypertrophy which makes myocardial protection difficult during cardiac, surgery and the choice of optimal cardioplegia remains controversial. The authors compared three protocols of cardioplegia in patients operated for isolated aortic stenosis with left ventricular hypertrophy. Sixty consecutive patients with these criteria were randomly attributed to one of the three following groups (20 in each group): cardioplegia with continuous warm blood; cardioplegia with intermittent cold blood with warm reperfusion; cardioplegia with intermittent cristalloid using SLF11 solution...
March 1997: Archives des Maladies du Coeur et des Vaisseaux
https://www.readbyqxmd.com/read/8964987/-the-effect-of-coenzyme-q10-and-cold-cristalloid-cardioplegia-on-hypothermic-global-ischemia
#20
H Yamamoto, F Yamamoto
Coenzyme Q10 (CoQ10, ubiquinone) has been shown to be protective against myocardial ischemia/reperfusion induced injury. The purpose of this study was to investigate the effect of CoQ10 added to cold cristalloid cardioplegia on hypothermic ischemia and normothermic reperfusion using an isolated working rat heart. Hearts (n = 6-9/group) from male Wistar rats were aerobically (37 degrees C) perfused (20 min) with bicarbonate buffer. This was followed by a 3-min infusion of St. Thomas' Hospital cardioplegic solution containing various concentrations of CoQ10 (0, 1, 3, 6, 12, and 58 mumol/L)...
May 1996: [Zasshi] [Journal]
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