State of the art in fluid and volume therapy : A  user-friendly staged concept.

[State of the art in fluid and volume therapy : A user-friendly staged concept]. Anaesthesist. 2017 Feb 17;: Authors: Rehm M, Hulde N, Kammerer T, Meidert AS, Hofmann-Kiefer K Abstract Adequate fluid therapy is highly important for the perioperative outcome of our patients. Both, hypovolemia and hypervolemia can lead to an increase in perioperative complications and can impair the outcome. Therefore, perioperative infusion therapy should be target-oriented. The main target is to maintain the patient's preoperative normovolemia by using a sophisticated, rational infusion strategy.Perioperative fluid losses should be discriminated from volume losses (surgical blood loss or interstitial volume losses containing protein). Fluid losses as urine or perspiratio insensibilis (0.5-1.0 ml/kg/h) should be replaced by balanced crystalloids in a ratio of 1:1. Volume therapy step 1: Blood loss up to a maximum value of 20% of the patient's blood volume should be replaced by balanced crystalloids in a ratio of 4(-5):1. Volume therapy step 2: Higher blood losses should be treated by using iso-oncotic, preferential balanced colloids in a ratio of 1:1. For this purpose hydroxyethyl starch can also be used perioperatively if there is no respective contraindication, such as sepsis, burn injuries, critically ill patients, renal impairment or renal replacement therapy, and severe coagulopathy. Volume therapy step 3:...
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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Police officer Charles Thomas (left) examines an Esmarch chloroform mask (similar to the museum example,right) found in November of 1933 alongside the dead body of Chicagoan Rheta Wynekoop. As the latter ’s philandering husband rode a train out of town, his cash-strapped mother, physician Alice Wynekoop (1871 to 1955), confirmed that she had already taken out extra life insurance on Rheta. When Rheta complained of abdominal pain, her mother-in-law chloroformed her “for the examination.” Panick ing when Rheta appeared to have dropped dead, Dr. Wynekoop tried to cover up the medical mishap by shooting her d...
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Integra is a dermal regeneration template used in the reconstruction of burns, traumatic injuries, or excision lesions in patients who present particular risk factors for traditional surgical procedures. A multidisciplinary advisory board of expert dermatologists and plastic surgeons have discussed the use of Integra in the reconstruction of scalp defects after tumor excision, focusing on the evidence derived from literature and on their experience in the treatment of approximately 400 patients. In this position paper, the authors summarize the main evidence discussed during the board, and the common practice guidelines pr...
Source: Journal of Craniofacial Surgery - Category: Surgery Tags: Clinical Studies Source Type: research
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Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Offbeat Syndicated CBSN Boston Brigham and Women's Hospital Source Type: news
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Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Healthcare Source Type: news
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Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Breast Cancer health Source Type: news
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Source: Am J Physiol Cell Ph... - Category: Cytology Authors: Tags: Am J Physiol Cell Physiol Source Type: research
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Source: MethodsX - Category: Science Source Type: research
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Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Kapil D Soni, Thanigai Arasu, Richa Aggarwal, Vanlal DarlongJournal of Anaesthesiology Clinical Pharmacology 2019 35(3):412-413
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
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