Hemodynamic optimization
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Dr. Richard Polin’s Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today’s practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient.
452p vimeyers 29-05-2024 2 2 Download
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Perioperative goal directed therapy (GDT) can substantially improve the outcomes of high risk surgical patients as shown by many clinical studies. However, the approach needs initial investment and can increase the already very high staff workload. These economic imperatives may be at least partly responsible for weak adherence to the GDT concept.
8p viisaacnewton 26-04-2022 10 2 Download
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Crystalloids are first line in fluid resuscitation therapy, however there is a lack of evidence-based recommendations on the volume to be administered. Therefore, we aimed at comparing the systemic hemodynamic and respiratory effects of volume replacement therapy with a 1:1 ratio to the historical 1:3 ratio.
9p vampires36 30-12-2021 8 0 Download
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Hemodynamic resuscitation in septic shock requires aggressive fluid replacement and appropriate use of vasopressors to optimize arterial pressure (AP) and cardiac output (CO). Because responses to these drugs vary between patients and within patient over time, strict monitoring of patient condition and repetitive adjustment of drug dose are required.
13p vampires36 30-12-2021 13 0 Download
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Perioperative fluid management – including the type, dose, and timing of administration –directly affects patient outcome after major surgery. The objective of fluid administration is to optimize intravascular fluid status to maintain adequate tissue perfusion. There is continuing controversy around the perioperative use of crystalloid versus colloid fluids.
9p vizhangzhidong 29-12-2021 9 0 Download
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There is no consensus on the optimal anesthesia method for intertrochanteric fracture surgeries in elderly patients. Our study aimed to compare the hemodynamics and perioperative outcomes of general anesthesia with endotracheal intubation, combined spinal-epidural anesthesia, and general anesthesia with laryngeal mask airway (LMA) and nerve block for intertrochanteric fracture surgeries in elderly patients.
6p vizhangzhidong 29-12-2021 14 0 Download
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Several studies suggest that hemodynamic optimization therapies can reduce complications, the length of hospital stay and costs. However, Brazilian data are scarce. Therefore, the objective of this analysis was to evaluate whether the improvement demonstrated by hemodynamic optimization therapy in surgical patients could result in lower costs from the perspective of the Brazilian public unified health system.
12p vizhangzhidong 29-12-2021 6 0 Download
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Goal directed therapy (GDT) is able to improve mortality and reduce complications in selected highrisk patients undergoing major surgery. The aim of this study is to compare two different strategies of perioperative hemodynamic optimization: one based on optimization of preload using dynamic parameters of fluidresponsiveness and the other one based on estimated oxygen extraction rate (O2ER) as target of hemodynamic manipulation.
8p vizhangzhidong 29-12-2021 9 0 Download
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To investigate the optimal dose of dexmedetomidine to maintain hemodynamic stability, prevent of cough and minimize postoperative pain for patients undergoing laparoscopic cholecystectomy.
10p vidietmarhopp 29-12-2021 17 0 Download
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The thesis is the first study which evaluates the results of formultiple organs resuscitation strategy in brain death potential donors. From the results of this study, it is recommended to optimize the hemodynamics to adequately perfusion of organs after brain death to ensure the functions of the transplanted organs later; the organs should be used in the 24 first hours frombeginning of organ resuscitation (about 12 hours after the declaring of Brain-dead diagnosis Council) because the organ functionsare is the best.
27p angicungduoc6 21-07-2020 9 1 Download
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The main method of cognition of the performance of biological systems is their mathematical modeling. The essence of this method should reflect the principle of optimization in biology[9]. Any biosystem cannot function if its energy consumption is inadequately high. The same is applicable to the blood circulatory system. Its main function is to transport blood throughout the body in order to maintain the proper gaseous exchange, deliver important substances to viscera and tissues in living body and remove decay products.
491p bachduong1311 12-12-2012 50 3 Download
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Meta-analysis of hemodynamic optimization: relationship to methodological quality...
9p coxanh_2 24-10-2011 53 3 Download