Direct markers of organ perfusion to guide fluid therapy: when to start, when to stop.
Best Pract Res Clin Anaesthesiol
; 28(3): 217-26, 2014 Sep.
Article
en En
| MEDLINE
| ID: mdl-25208957
ABSTRACT
Up until now, the discussion in the literature as to the choice of fluids is almost completely restricted to the composition, with little to no attention paid to the importance of hemodynamic end points to achieve a desired optimal volume. The determination of fluid volume is left to the discretion of the attending physician with only surrogate markers as guidance the initiation and cessation of fluid therapy. In this article, we aim to discuss the available literature on existing clinical and experimental criteria for the initiation and cessation of fluid therapy. Furthermore, we present recent data that have become available after the introduction of direct in vivo microscopy of the microcirculation at the bedside, and discuss its potential influence on the existing paradigms and controversies in fluid therapy.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Guías de Práctica Clínica como Asunto
/
Fluidoterapia
/
Microcirculación
Tipo de estudio:
Guideline
Límite:
Animals
/
Humans
Idioma:
En
Revista:
Best Pract Res Clin Anaesthesiol
Asunto de la revista:
ANESTESIOLOGIA
Año:
2014
Tipo del documento:
Article