Noninvasive Sonographic Assessment of Volume-Responsiveness in Neonates After Cardiac Surgery: More of the Same or Something Novel?

APPROPRIATE PERIOPERATIVE fluid management in the neonate or infant after cardiac surgery requires meticulous attention to volume and timing of administration. Insufficient fluid administration can promote or maintain a state of relative volume depletion, reducing stroke volume and cardiac output with attendant risk of inadequate systemic oxygen delivery and end-organ hypoperfusion. This has been associated with acute kidney injury, among other sequelae. Conversely, excessive volume expansion can lead to a state of fluid overload, increasing ventricular filling pressures and myocardial oxygen demand.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research