Hemodilution

Feb 4, 2017 by in ANESTHESIA Comments Off on Hemodilution

Alteration in cardiac preload and afterload conditionsNegative inotropic effectDepressed autonomic nervous system activity2.Effects on the O2 extraction responseVasodilationDepressed sympathetic nervous system activity3.Effects on gas exchangeDecreased functional residual capacity4.Effects on tissue…

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Invasive hemodynamic monitoring

Feb 4, 2017 by in ANESTHESIA Comments Off on Invasive hemodynamic monitoring

Left ventricular failureRight ventricular failureShock especially in the context of right ventricular failureDifferentiating between different types of shock (for example cardiogenic, septic, hypovolemic, obstructive)Pulmonary edemaDifferentiating between cardiogenic edema and non-cardiogenic…

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The glycocalyx layer

Feb 4, 2017 by in ANESTHESIA Comments Off on The glycocalyx layer

Figure 11.1 Electron microscopy of endothelial cells in the glomerular capillaries using ThO2 staining. The glycocalyx covers the endothelial cell surface in regularly distributed focal structures. The glycocalyx “bridges” the…

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Fluids or blood products?

Feb 4, 2017 by in ANESTHESIA Comments Off on Fluids or blood products?

Figure 6.1 The four-column model of patient blood management (PBM) intended to avoid or minimize allogeneic transfusion in elective surgery, in order to improve the surgical patient’s postoperative outcome. Management…

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Burns

Feb 4, 2017 by in ANESTHESIA Comments Off on Burns

Figure 31.1 Size of the burn in percent of skin surface. According to the “9% rule” the body regions can be divided into areas which are multiples of 9. The…

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The ERAS concept

Feb 4, 2017 by in ANESTHESIA Comments Off on The ERAS concept

Figure 18.1 Algorithm for intraoperative goal-directed fluid administration. FTc – descending aortic corrected flow time; SV – stroke volume. From Ref. [24], with permission. Despite this, in more recent studies…

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Microvascular fluid exchange

Feb 4, 2017 by in ANESTHESIA Comments Off on Microvascular fluid exchange

where Lp represents hydraulic permeability (fluid conductivity), S is the surface area available for fluid exchange, reflecting the number of perfused capillaries, ΔP is the net transcapillary hydrostatic force for…

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Monitoring of the microcirculation

Feb 4, 2017 by in ANESTHESIA Comments Off on Monitoring of the microcirculation

Figure 12.1 The convective and diffusive determinants of oxygen transport from the microcirculation to the tissue cell. The convective flow is defined by the product of the oxygen-carrying saturation (Hbsat,…

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Trauma

Feb 4, 2017 by in ANESTHESIA Comments Off on Trauma

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 32 Trauma Joshua D. Person and John B. Holcomb Clinical Fluid Therapy in the Perioperative Setting, Second Edition, ed. Robert G. Hahn. Published by Cambridge…

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Severe sepsis and septic shock

Feb 4, 2017 by in ANESTHESIA Comments Off on Severe sepsis and septic shock

Figure 28.1 Fluid therapy in septic shock. BE, base excess; CI, cardiac index; CVP, central venous pressure; MAP, mean arterial pressure; NA, noradrenaline; ScvO2, central venous oxygen saturation; SVRI, systemic…

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