Fluid Therapy for the Surgical Patient

Author: Christer H. Svensen
Publisher: CRC Press
ISBN: 1498735444
Format: PDF, Kindle
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Over the past decade, there have been a large number of important studies related to fluid management for the surgical patient, resulting in confusion on this critical aspect of patient care. Proper fluid therapy in the perioperative setting has always been important but has only recently had concrete outcome-based guidelines. This is the first comprehensive, up-to-date and practical summary book on the topic.

Perioperative Fluid Therapy

Author: Robert G. Hahn
Publisher: CRC Press
ISBN: 9781420016680
Format: PDF
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Perioperative fluid therapy requires the correct selection, amount, and composition of fluids based on the patient's underlying pathology, state of hydration, and type and duration of surgical stress. Filling a gap in the literature, this source provides a solid foundation to practical perioperative fluid management, fluid solutions, and the utilization of fluids in clinical and surgical environments, and analyzes the composition of body compartments, the regulation of water and electrolytes, and bodily response to traumatic and surgical conditions.

Intravenous fluid therapy in Maxillofacial Surgery

Author: Darpan Bhargava
Publisher: Anchor Academic Publishing
ISBN: 3954899876
Format: PDF, Docs
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The importance of intravenous fluid therapy can not be underestimated in surgical patients, considering its direct impact on the intra-operative haemodynamics and post-operative recovery. A clear understanding of “which fluid?” and “how much?” is mandatory while dealing with maxillofacial surgical cases.

Practical Applications of Intravenous Fluids in Surgical Patients

Author: Shaila Shodhan Kamat
Publisher: Jaypee Brothers,Medical Publishers Pvt. Limited
ISBN: 9352705319
Format: PDF, Mobi
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Fluid therapy is one of the most basic interventions spanning across all medical and surgical disciplines. Physicians need to understand the physiology of fluids and electrolytes before they can evaluate the extent to which disease pathophysiology has altered the balance, enabling them to determine the type and quantity of intravenous fluids required for treatment. This new edition is a practical guide to intravenous fluids and their administration to surgical patients. Divided into sixteen sections, the text begins with an overview of normal water balance and distribution of body fluid. The next sections cover the pharmacology of different types of intravenous fluid, followed by discussion on fluid therapy in different medical circumstances, and concluding with a chapter on fluid calculation. The second edition has been fully revised to provide the latest information in the field, and features new topics including fluid choice in the perioperative period and surgery and stress response. Key points Fully revised, new edition presenting latest information on intravenous fluids in surgery Discusses different types of fluid and their application in different circumstances Second edition includes several new topics Previous edition (9789350903957) published in 2013

Clinical Fluid Therapy in the Perioperative Setting

Author: Robert G. Hahn
Publisher: Cambridge University Press
ISBN: 1139501038
Format: PDF, ePub, Docs
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Clinical Fluid Therapy in the Peri-Operative Setting brings together some of the world's leading clinical experts in fluid management to explain what you should know when providing infusion fluids to surgical and critical care patients. Current evidence-based knowledge, essential basic science and modern clinical practice are explained in 25 focused and authoritative chapters. Each chapter guides the reader in the use of fluid therapy in all aspects of peri-operative patient care. Guidance is given on the correct selection, quantity and composition of fluids required as a consequence of the underlying pathology and state of hydration of the patient, and the type and duration of surgery. Edited by Robert G. Hahn, a highly experienced clinician and award-winning researcher in fluid therapy, this is essential reading for all anaesthetists, intensivists and surgeons.

Fluids and Electrolytes in the Surgical Patient

Author: Carlos Pestana
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781724258
Format: PDF, ePub
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Now in its thoroughly revised, updated Fifth Edition, this handbook is the only volume on fluids and electrolytes that is geared specifically to surgical residents and surgeons. It explains, in practical terms, how to assess and manage problems of fluid-electrolyte and acid-base balance in surgical patients. This edition's chapters have all been rewritten for easier readability. New charts and figures have been added and tables have been revised to reflect recent modifications in therapy. The text precisely describes the specific characteristics and uses of all currently available fluids. This edition also provides more information on the interpretation and therapeutic implications of laboratory results.

Nursing Care of the Pediatric Surgical Patient

Author: Nancy Tkacz Browne
Publisher: Jones & Bartlett Publishers
ISBN: 0763799939
Format: PDF, ePub, Docs
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Published in partnership with American Pediatric Surgical Nurses Association (APSNA), Nursing Care of the Pediatric Surgical Patient, Third Edition is the must-have resource for all healthcare providers involved in the care of the general pediatric surgical patient. Representing the educational mission of APSNA to improve the nursing care of pediatric surgical patients, this textbook includes information on pre- and post-operative care, minimally invasive surgery, innovative therapies, surgically treated congenital anomalies, pediatric solid tumors, and care of tubes, drains, wounds, and ostomies. This text teaches readers how to be technologically savvy, clinically competent, and able to tend to emotional and psychosocial needs of the child and family. Completely updated and revised, this new edition includes an expanded focus on topics such as organ transplantation, pain, bowel management, and fluid and electrolytes.

Goal directed fluid therapy during major abdominal surgery

Author: Hans Bahlmann
Publisher: Linköping University Electronic Press
ISBN: 9176851230
Format: PDF, ePub
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Background: Both hypo- and hypervolemia increase the risk for postoperative complications after major abdominal surgery. Fluid needs vary amongst patients depending on differences in preoperative dehydration, intraoperative physiology and surgical characteristics. Goal-directed fluid therapy (GDFT) aims to target the right amount of fluid administration in each patient by evaluating the effect of fluid boluses on haemodynamic parameters such as stroke volume. It has been shown to reduce postoperative morbidity and is generally recommended for high-risk surgery. The overall aim of this thesis was to evaluate whether more simple devices for GDFT result in clinical benefit, thus facilitating the application of GDFT in more patients. Aim: To compare performance and clinical benefit of pleth variability index (PVI), a noninvasive, easy-to-use device for GDFT, with the reference method of oesophageal Doppler; to evaluate methods for measuring preoperative dehydration and its effect on fluid handling by the body; and to confirm the expected clinical benefits of GDFT in patients undergoing oesophageal resection, a high risk procedure. Methods: In Studies I-III 150 patients scheduled for open abdominal surgery of at least 2 hrs were randomised to GDFT with either PVI or oesophageal Doppler. In the first half of the cohort, both monitors were connected to compare intraoperative performance. In 30 patients preoperative dehydration was analysed. In study IV 64 patients undergoing oesophageal resection were randomised to GDFT using pulse contour analysis or standard treatment. Results: The concordance between PVI and oesophageal Doppler for indicating the need for and effect of a fluid bolus was low, and both had only limited capacity to predict the effect of a fluid bolus. Both methods resulted in comparable amounts of fluid being administered and similar clinical outcome. Preoperative dehydration was limited but did impact on fluid handling. Patients receiving GDFT during oesophageal resection received more fluid and more dobutamine compared to controls, but this did not result in any clinical benefit. Conclusions: There are methodological issues as well as uncertainties about the clinical benefit of GDFT. We cannot recommend a strict application of any GDFT strategy, but suggest that its components should be incorporated in a more encompassing assessment of a patient’s fluid needs. The measurement, impact and treatment of preoperative dehydration need to be further clarified.

Core Topics in Vascular Anaesthesia

Author: Carl Moores
Publisher: Cambridge University Press
ISBN: 110737782X
Format: PDF, Mobi
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Vascular surgery and anaesthesia have changed considerably in recent years and become recognised subspecialties, although non-specialist anaesthetists continue to provide much of the care for emergency vascular surgical patients. Core Topics in Vascular Anaesthesia brings together the clinical expertise of global leaders in the field in a comprehensive review of contemporary practice. Detailed discussion is included on every aspect of clinical management: • Preoperative risk assessment, including cardiopulmonary exercise testing and risk modification using pharmacological and cardiac interventions • Anaesthesia for major vascular operations including carotid endarterectomy, complex endovascular aortic surgery and repair of ruptured aortic aneurysms • Intraoperative management of high risk patients including advanced monitoring techniques, fluid management, blood conservation and transfusion, major haemorrhage and treatment of coagulopathy Practical and well illustrated, Core Topics in Vascular Anaesthesia is essential reading for anaesthetists, intensive care physicians and vascular surgeons.

Die An sthesiologie

Author: Rolf Rossaint
Publisher: Springer-Verlag
ISBN: 3642211259
Format: PDF, ePub
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In dem Handbuch sind die Fächer Anästhesie, Schmerztherapie und Intensivmedizin wissenschaftlich fundiert, praxisnah und präzise aufbereitet. Die Themen werden entsprechend dem Ablauf einer Narkose behandelt: von der Prämedikationsvisite über Pharmakologie und Patienten mit speziellen Krankheitsbildern bis zu rechtlichen Grundlagen. Die 3. Auflage wurde auf den neuesten Stand gebracht, aktuellen Leitlinien angepasst und um neue Themen wie z. B. Ultraschall in der Anästhesie ergänzt. Begleitende Website mit Filmen zu anästhesiologischen Techniken.