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Current Anesthesiology Reports
Published in: Current Anesthesiology Reports 3/2019

01-09-2019 | Kidney Injury | Cardiovascular Anesthesia (J Fassl, Section Editor)

From the Physiology to the Bedside: Fluid Therapy in Cardiac Surgery and the ICU

Authors: Marcello Guarnieri, Andrea De Gasperi, Stefano Gianni, Marco Baciarello, Valentina Bellini, Elena Bignami

Published in: Current Anesthesiology Reports | Issue 3/2019

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Abstract

Purpose of Review

In this review, we summarize the evidence present in the literature about this important field, with particular attention to the peculiarities of cardiac surgery.

Recent Findings

Since water is the main component of human cells and tissue, together with electrolytes and proteins, the manipulation of this element in critical illness is a powerful tool in the hands of the anesthesiologist and intensive care doctor. It can be either extraordinarily effective in the treatment of the patient’s disease and in correcting the hemodynamic instability or it can lead to very dangerous consequences, such as edema or end-organ damage. The potential consequences of this therapy require a proper monitoring system and the possibility to correctly assess the probability of the patient to respond to a fluid bolus in the macro- and microhemodynamics.

Summary

Fluid therapy has potentially enormous advantages when the indication is correctly given and balanced to the potential side effects.
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Metadata
Title
From the Physiology to the Bedside: Fluid Therapy in Cardiac Surgery and the ICU
Authors
Marcello Guarnieri
Andrea De Gasperi
Stefano Gianni
Marco Baciarello
Valentina Bellini
Elena Bignami
Publication date
01-09-2019
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 3/2019
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-019-00341-0

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