Autor: |
Ranucci, M, Pazzaglia, A, Tritapepe, L, Guarracino, F, Lupo, M, Salandin, V, del Sarto, P, Condemi, A, Campodonico, R, Laudani, G, Pittarello, D, Belloni, L, Ri.Ve.R. (Right Ventricle Research) Group |
Jazyk: |
angličtina |
Rok vydání: |
2009 |
Předmět: |
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Zdroj: |
HSR Proceedings in Intensive Care & Cardiovascular Anesthesia |
Popis: |
Introduction We investigated fluid responsiveness in a population of patients undergoing coronary artery revascularization, with respect to their right ventricular ejection fraction. Materials and Methods This was a multicenter trial involving 11 cardiac surgical Institutions and 65 patients undergoing elective coronary artery revascularization. Hemodynamic parameters were measured before and after volume expansion using a modified pulmonary artery catheter and transesophageal echocardiographic monitoring. Patients demonstrating an increase of stroke volume >20% after volume expansion were considered as responders. Volume expansion with 7 ml/kg of plasma expander was performed when required on a clinical basis. Results In the overall population, only the change in aortic blood velocity (cut-off 13%) was a predictor of fluid responsiveness. In patients with a reduced ( |
Databáze: |
OpenAIRE |
Externí odkaz: |
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