Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 16 februarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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FLUID THERAPY AND INTRAABDOMINAL HYPERTENSION
Mihaela Blaj (*), Ioana Grigoraş
(*) PhD student „Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Intensive Care Department, St. Spiridon University Hospital
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (3): 335-350
Full text:
Format PDF (Română/Romanian)

Abstract:

Intravenous fluid administration is a common therapy in critically patients; the fluid loading is the first step in the resuscitation protocols of hemodynamic unstable patients. Inappropriate intravenous fluid therapy is a significant cause of patient morbidity and mortality and may result from either incorrect volume (too much or too little) or incorrect type of fluid. Uncorrected hypovolemia leading to inadequate organ perfusion  and inappropriate infusions of vasopressor agents that may increase organ hypoperfusion and ischemia. Multiple studies  demonstrated a clear positive association between the mean cumulative daily fluid balance and mortality .Fluid over-resuscitation has been shown to promote general oedema and intraabdominal hypertension (IAH) that is an independent predictor for mortality. In all patients that receive massive fluid resuscitation is necessary to monitor intraabdominal pressure (IAP) and abdominal perfusion pressure (APP) and to addapt the  hemodynamic  parameters according to IAP values.  The maine concern regarding the nonsurgical management of patients with IAH and abdominal compartment syndrom (ACS) is to decrease fluid overload for improve outcome.

KEY WORDS: FLUID THERAPY, OVER-RESUSCITATION , HYPOVOLEMIA, INTRAABDOMINAL PRESSURE, INTRAABDOMINAL HYPERTENSION, ABDOMINAL PERFUSION PRESSURE, HEMODYNAMIC MONITORING , ABDOMINAL COMPARTMENT SYNDROM

Correspondence to: Mihaela Blaj, MD, Intensive Care Department, St. Spiridon University Hospital, str. Independentei, nr. 1, 700111, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.