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Rev Esp Anestesiol Reanim. 2014 Jan;61(1):21-7. doi: 10.1016/j.redar.2013.01.006. Epub 2013 Apr 18.

[Fluid therapy in cardiac surgery. An update].

[Article in Spanish]

Author information

  • 1Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital del Vinalopó, Elche, Alicante, España. Electronic address: esstefania@hotmail.com.
  • 2Unidad de Reanimación, Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario y Politécnico La Fe, Valencia, España.
  • 3Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital del Vinalopó, Elche, Alicante, España.

Abstract

The anesthetist has 2 major tools for optimizing haemodynamics in cardiac surgery: Vasoactive drugs and the intravascular volume. It is necessary to identify which patients would benefit from one or the other therapies for a suitable response to treatment. Hemodynamic monitoring with the different existing parameters (pressure, volumetric static, volumetric functional and echocardiography) allows the management of these patients to be optimized. In this article a review is presented on the most recent and relevant publications, and the different tools available to control the management of the fluid therapy in this context, and to suggest a few guidelines for the haemodynamics monitoring of patients submitted to cardiac surgery. A systematic search has been made in PubMed, limiting the results to the publications over the last five years up to February 2012.

Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

KEYWORDS:

Cardiac output; Cardiac surgery; Cirugía cardiaca; Echocardiography; Ecocardiografía; Fluid therapy; Fluidoterapia; Gasto cardiaco; Hemodynamic monitoring; Monitorización hemodinámica

PMID:
23602462
[PubMed - in process]
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