Renal Resistive Index is Unsusceptible to Systemic Hemodynamics in Fluid Responsive Critically III Patients
| Autor: | Ismail Cinel, Mustafa Kemal Arslantas, Seçil Özcan Ayhan, Beliz Bilgili, Fethi Gül |
|---|---|
| Přispěvatelé: | Gul, Fethi, Bilgili, Beliz, Arslantas, Mustafa Kemal, Ayhan, Secil Ozcan, Cinel, Ismail |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Critically ill SURGERY macrohemodynamics FLOW lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Renal resistive index lcsh:Medicine ACUTE KIDNEY INJURY lcsh:RC86-88.9 PRESSURE Resistive index Systemic hemodynamics Internal medicine Cardiology fluid responsiveness Medicine SHOCK renal circulation business |
| Zdroj: | Türk Yoğun Bakım Dergisi, Vol 18, Iss 1, Pp 35-42 (2020) |
| Popis: | Objective: The primary goal of fluid resuscitation in critically ill patients is to improve oxygen delivery to ensure adequate organ perfusion. Little evidence is known about renal response to fluids in the acute phase, so renal monitoring after the fluid challenge is fundamental during critical care stay. This study aimed to evaluate changes in the renal resistive index (RRI) and to compare these changes with hemodynamic parameters after fluid challenge in fluid responsive critically ill patients. Materials and Methods: Thirty patients older than 18 years who underwent sedation and received mechanical ventilation were prospectively studied. Twenty patients were fluid responsive and were included in the study. An increase of cardiac output (CO) by 10% or more after PLR measured by ultrasonic CO monitor suspected fluid responsiveness. 500 mL of isotonic solution was administered intravenously for 30 minutes. CO measurements were performed at 0, 1 and 30 minutes. RRI and mean arterial pressure (MAP) were measured by Doppler ultrasonography at 0 and 30 minutes. Repeated measures ANOVA method was used for statistical analysis and p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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