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Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2018 / Cilt: 24 - Sayı: 1

Fluid Therapy and Management (II) Monitoring and Prediction of Fluid Responsiveness

Sıvı Tedavisi ve Yönetimi (II) Monitorizasyon ve Sıvı Yanıtlılığının Öngörülmesi

Zeynep Zuhal AYKAÇ
Mustafa Kemal ARSLANTAŞ
Pages
1–10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Appropriate hemodynamic monitoring which predicts fluid response should be applied to infuse optimum amount of fluid and to avoid negative effects of fluid overloading by applying rational fluid strategy, fluid therapy should be individualized for the patient.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Maintaining volume status and optimising the hemodynamic parameters exerts a paramount importance on postoperative morbidity and mortality.
📊
Key Findings & Data:In critically ill patients, we should accurately assess intravascular volume status, and foresee hemodynamic response (ie if the patient is capable of increasing stroke volume or cardiac output by fluid loading) following fluid overload.
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Conclusion & Impact:Appropriate hemodynamic monitoring which predicts fluid response should be applied to infuse optimum amount of fluid and to avoid negative effects of fluid overloading by applying rational fluid strategy, fluid therapy should be individualized for the patient.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Maintaining volume status and optimising the hemodynamic parameters exerts a paramount importance on postoperative morbidity and mortality. In the management of fluid therapy it is required to guarantee blood flow to maintain sufficient and safe tissue oxygenation and determine if cardiac output is sufficient in maintaining the metabolic demand. In critically ill patients, we should accurately assess intravascular volume status, and foresee hemodynamic response (ie if the patient is capable of increasing stroke volume or cardiac output by fluid loading) following fluid overload. Nowadays, certain hemodynamic monitors may provide dynamic parameters like stroke volume variation (SVV) and pulse pressure variation (PPV) by continuously calculating stoke volume. Appropriate hemodynamic monitoring which predicts fluid response should be applied to infuse optimum amount of fluid and to avoid negative effects of fluid overloading by applying rational fluid strategy, fluid therapy should be individualized for the patient.

Özet

İntravasküler volümün korunması ve hemodinamik optimizasyonun sağlanması postoperatif morbidite ve mortalite üzerine önemli rol oynar. Sıvı tedavisinin yönetiminde yeterli ve güvenli doku oksijenasyonunu sağlayacak kan akımının garanti edilmesi ve kalp debisinin metabolik gereksinimlerin karşılanmasında yeterli olup olmadığının belirlenmesi gerekmektedir. Kritik hastalarda intravasküler volüm durumunu doğru bir şekilde değerlendirmeli ve sıvı yüklemesini takiben gelişecek hemodinamik yanıtı (yani hastanın sıvı yüklemeyle atım hacmini veya kalp debisini artırıp arttırmayacağını) öngörebilmeliyiz. Günümüzde, bazı hemodinamik monitörler, atım hacmini sürekli olarak hesaplayarak atım hacmi değişimi (SVV) ve nabız basıncı değişimi (PPV) gibi dinamik parametreler sağlayabilmektedir. Hastalara optimum sıvıyı vermek ve fazla sıvının yol açtığı olası olumsuzluklardan kaçınmak için, sıvı yanıtını tahmin eden uygun hemodinamik monitorizasyon yapılmalı ve akılcı bir sıvı stratejisi uygulanarak sıvı tedavisi hasta için kişiselleştirilmelidir.

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Cite This Article

AYKAÇ, Z. Z., ARSLANTAŞ, M. K. (2018). Fluid Therapy and Management (II) Monitoring and Prediction of Fluid Responsiveness. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 24 - Sayı: 1, 1–10. https://ajindex.com/articles/162593

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