Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Surg. 2009 Feb;197(2):232-7. doi: 10.1016/j.amjsurg.2008.01.016.

The availability of circulating blood volume values alters fluid management in critically ill surgical patients.

Author information

  • 1Department of Surgery, University of Hawaii, Honolulu, HI, USA. dtakanis@hawaii.edu

Abstract

BACKGROUND:

This study evaluated whether commercially available blood volume measurements in critically ill surgical patients altered fluid management.

METHODS:

Patients admitted to the surgical intensive care unit of a tertiary care teaching hospital were prospectively evaluated. The frequency of changes in fluid management when results of blood volume measurements were available was determined.

RESULTS:

In a pilot study, the frequency of instances when measurement of blood volume would have altered fluid management was statistically significant (P = .0003). In 40 subsequent patients, treatment change occurred in 36% of instances when blood volume results were obtained (P < .001). In the majority, no immediate qualitative change in clinical status occurred, with a desirable clinical response in 39% and no negative treatment responses (P < .001).

CONCLUSIONS:

Blood volume measurements may assist in the management of critically ill surgical patients by providing a direct measure of intravascular volume. Further studies are warranted to determine its effect on outcome.

PMID:
19185111
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk