The effect of crystalloid infusion on body water content and intra-abdominal
pressure in patients undergoing orthopedic surgery under spinal anesthesia

Kotlińska-Hasiec, Edyta; Rutyna, Rafał; Rzecki, Ziemowit; Gągała, Jacek; Pawlik, Paulina; Załuska, Alicja; Jaroszyński, Andrzej; Załuska, Wojciech; Dąbrowski, Wojciech

doi:10.17219/acem/63140

Cited by 4 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We defined the LF rate as four times the CF rate because there is a lack of consensus on what a "liberal" fluid strategy means in clinical practice (Rahbari et al, 2009). Nevertheless, the difference between the CF and LF infusion rates was close to that in many other studies (Holte et al, 2007;Kotlińska-Hasiec et al, 2017;Lobo et al, 2011;Shin et al, 2018). Even though CO LV and MAP were similar between the groups and time points, the fluid rate difference was sufficient to create two different hemodynamic profiles as demonstrated by lower SVV LV and VCCI at T 60 in the LF-PCV group.…”

Section: Discussionmentioning

confidence: 94%

“…The histologic features better represent mild lung injury from LPS instillations in small animals (Matute-Bello et al, 2011). Second, the LF rates used here were relatively high; nevertheless, studies show similar fluid rates in clinical scenarios (Holte et al, 2007;Kotlińska-Hasiec et al, 2017;Lobo et al, 2011;Shin et al, 2018). Furthermore, we aimed to investigate groups with extreme and different fluid strategies.…”

Section: Limitationsmentioning

confidence: 98%

See 1 more Smart Citation

Effects of different fluid management on lung and kidney during pressure‐controlled and pressure‐support ventilation in experimental acute lung injury

Carvalho

Fonseca

Magalhães

et al. 2022

Physiological Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Limitationsmentioning

confidence: 98%

Effects of different fluid management on lung and kidney during pressure‐controlled and pressure‐support ventilation in experimental acute lung injury

Carvalho

Fonseca

Magalhães

et al. 2022

Physiological Reports

View full text Add to dashboard Cite

show abstract

Fluid Management in Intra-abdominal Hypertension

Malbrain,

Nasa,

De laet

et al. 2023

Rational Use of Intravenous Fluids in Critically Ill Patients

View full text Add to dashboard Cite

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) have significant pathophysiological consequences that can affect multiple organ systems. Fluid resuscitation is often used to restore hemodynamic stability in patients with elevated IAP; however, excessive intravenous fluid administration can paradoxically lead to ACS. This chapter explores the impact of fluid management in patients with IAH and ACS, including the effects of fluid on IAP in different patient populations and conditions. The importance of appropriate management of patients with elevated pressures in adjacent compartments, such as the abdomen, thorax, and skull, is also highlighted. The Abdominal Compartment Society's clear definitions for IAH and ACS, as well as concepts such as abdominal perfusion pressure, are discussed. Additionally, this chapter delves into the effects of elevated pressure on different organ systems, including the cardiovascular, respiratory, central nervous, renal, and gastrointestinal systems. The authors emphasize the need for careful fluid management in these patients to avoid exacerbating the pathophysiological consequences of elevated IAP.

show abstract

Fluid management strategies and their interaction with mechanical ventilation: from experimental studies to clinical practice

Carvalho

Battaglini

Robba

et al. 2023

ICMx

View full text Add to dashboard Cite

Patients on mechanical ventilation may receive intravenous fluids via restrictive or liberal fluid management. A clear and objective differentiation between restrictive and liberal fluid management strategies is lacking in the literature. The liberal approach has been described as involving fluid rates ranging from 1.2 to 12 times higher than the restrictive approach. A restrictive fluid management may lead to hypoperfusion and distal organ damage, and a liberal fluid strategy may result in endothelial shear stress and glycocalyx damage, cardiovascular complications, lung edema, and distal organ dysfunction. The association between fluid and mechanical ventilation strategies and how they interact toward ventilator-induced lung injury (VILI) could potentiate the damage. For instance, the combination of a liberal fluids and pressure-support ventilation, but not pressure control ventilation, may lead to further lung damage in experimental models of acute lung injury. Moreover, under liberal fluid management, the application of high positive end-expiratory pressure (PEEP) or an abrupt decrease in PEEP yielded higher endothelial cell damage in the lungs. Nevertheless, the translational aspects of these findings are scarce. The aim of this narrative review is to provide better understanding of the interaction between different fluid and ventilation strategies and how these interactions may affect lung and distal organs. The weaning phase of mechanical ventilation and the deresuscitation phase are not explored in this review.

show abstract

The effect of crystalloid infusion on body water content and intra-abdominal pressure in patients undergoing orthopedic surgery under spinal anesthesia

Abstract: Background. Crystalloids are frequently used for the correction of spinal anesthesia-induced hypotension, intraoperative bleeding, or vaporisation from surgical wounds.

Cited by 4 publications

References 30 publications

Effects of different fluid management on lung and kidney during pressure‐controlled and pressure‐support ventilation in experimental acute lung injury

Effects of different fluid management on lung and kidney during pressure‐controlled and pressure‐support ventilation in experimental acute lung injury

Fluid Management in Intra-abdominal Hypertension

Fluid management strategies and their interaction with mechanical ventilation: from experimental studies to clinical practice

Contact Info

Product

Resources

About