DIFERENCIA ENTRE SOLUCIONES COLOIDES Y CRISTALOIDES PDF

O coordenador da pesquisa inscreveu os participantes e obteve as assinaturas do consentimento informado. Protocolo de anestesia. Cateteres arteriais venoso e central foram colocados como exigido. Em nosso estudo, os pacientes tratados com amido apresentaram mais sangramento.

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Se estudiaron 18 perros anestesiados y monitorizados sometidos a hemorragia gradual. Eighteen dogs were anesthesied and monitorized. All solutions studied were effective in restoring cardiac output, cardiac filling pressure and blood pressure. Pulmonary shunt increased with lactated Ringer.. Gelatines show more resuscitative effecacy than lactated Ringer.

Lactated Ringer increased pulmonary shunt.. ISSN: Descargar PDF. Palabras clave:. Materials and method Eighteen dogs were anesthesied and monitorized. Results All solutions studied were effective in restoring cardiac output, cardiac filling pressure and blood pressure. Pulmonary shunt increased with lactated Ringer.

Conclusions Gelatines show more resuscitative effecacy than lactated Ringer. Lactated Ringer increased pulmonary shunt. Key words:. Rackow, J. Kalk, I. Fluid resuscitation in circulatory shock: a comparison of the cardiorespiratory effects of albumina, hetarstarch and saline solutions in patients with hypovolemic and septic shock. Crit Care Med, 11 , pp. Velasco, M. Rocha e Silva. Hypertonic and hyperoncotic resuscitation from severe hemorrhagic shock in dogs: A comparative study.

Crit Care Med, 17 , pp. Crystalloid versus colloid fluid resuscitation: a meta-analisis of mortality. Surgery, , pp.

Schierhout, I. Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: a systematic review of randomised controlled trials. Br Med J, , pp. Heckbert, N. Vedder, N. Outcome after hemorrhagic shock in trauma patients.

J Trauma, 45 , pp. Velasco, V. Pontieri, M. Rocha e Silva, O. Am J Physiol, , pp. Ducey, D. Mozingo, J. A comparison of the cerebral and cardiovascular effects of complete resuscitation with isotonic and hypertonic saline, hetarstach, and whole blood following hemorrhage. J Trauma, 29 , pp. Hypertonic saline resuscitation: a new concept. Kramer, G. Elgjo, L. Poli de Figueiredo, C.

Mazzoni, P. Borgstrom, K. Arfors, M. Dynamic fluid redistribution in hyperosmotic resuscitation of hypovolemic hemorrhage.

Vassar, C. Perry, J. J Trauma, 34 , pp. Monafo, C. Chuntrasakul, V. Hypertonic sodium solutions in the treatment of burn shock. Am J Surg, , pp. Salmon, M. Blood Reviews, 7 , pp. Kien, P. Effects of hypertonic saline on regional function and blood flow in canine hearts during acute coronary occlusion.

Shock, 7 , pp. Kien, G. Cardiac performance following hypertonic saline. Braz J Med Biol, 22 , pp. Goertz, T. Anesthesiology, 82 , pp. Suzuky, R. Effects of hypertonic saline and dextrano 70 on cardiac function after burns. Hauser, W. Shoemaker, I.

Hemodynamic and oxygen transport responses to body water shifts produced by colloids and crystalloids in critically ill patients.

Surg Gynecol Obstet, , pp. Shoemaker, P. Appel, H. Hemodynamic and oxygen transport monitoring to titrate therapy in septic shock. New Horizonts, 1 , pp. Smith, F. Cheney, P. The effect of change in cardiac output on intrapulmonary shunting.

Br J Anaesth, 46 , pp. Rusell, J. Ronco, D. Lockhat, A. Belzberg, M. Kiess, P. Oxygen delivery and consumption and ventricular preload are greater in survivors than in non survivors of the adult respiratory distress syndrome.

Am Rev Respir Dis, , pp. Webb, D. Tighe, R. Moss, N. Al-Saady, J. Hynd, D. Adventages of a narrow-range, medium molecular weight hydroxyethyl starch for volume maintenance in a porcine model of fecal peritonitis. Crit Care Med, 19 , pp. Lowell, C. Schifferdecker, D. Postoperative fluid overload: Not a benign problem. Crit Care Med, 18 , pp. Falk, I. Fluid resuscitation in circulatory shock: A comparison of the cardiorespiratory effects of albumin, hetastach and saline solutions in patients with hypovolemic and septic shock.

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Fluidoterapia en NeurocirugĂ­a Craneal

Early resuscitation of septic shock patients reduces the sepsis-related morbidity and mortality. The main goals of septic shock resuscitation include volemic expansion, maintenance of adequate tissue perfusion and oxygen delivery, guided by central venous pressure, mean arterial pressure, mixed or central venous oxygen saturation and arterial lactate levels. An aggressive fluid resuscitation, possibly in association with vasopressors, inotropes and red blood cell concentrate transfusion may be necessary to achieve those hemodynamic goals. Nonetheless, even though fluid administration is one of the most common interventions offered to critically ill patients, the most appropriate type of fluid to be used remains controversial.

ANDRE BAZIN AND ITALIAN NEOREALISM PDF

2017, NĂșmero 3

Kellum JA. Fluid resuscitation and hyperchloremic acidosis in experimental sepsis: Improved short-term survival and acid-base balance with Hextend compared with saline. Crit Care Med. Med Intensiva. Is there a role for balanced solutions in septic patients? Fluid management before, during and after elective surgery. Curr Opin Crit Care.

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