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FLUID THERAPY IN MAINTAINING HEMODYNAMIC STABILITY1Effect of Fluid Therapy in Maintaining Hemodynamic Stability during Induction ofAnesthesia in Cardiac SurgeryNameInstitution
FLUID THERAPY IN MAINTAINING HEMODYNAMIC STABILITY2TABLE OF CONTENTSIntroduction....................................................................................................................................4Review of Literature......................................................................................................................5Primary outcome..............................................................................................................................5Maintaining Hemodynamic Stability...........................................................................................6Secondary outcome..........................................................................................................................9Monitoring fluid responses........................................................................................................10Methods.........................................................................................................................................11Design........................................................................................................................................11Ethical considerations................................................................................................................13Setting........................................................................................................................................13Study endpoints..........................................................................................................................13Patients.......................................................................................................................................13Study conduction........................................................................................................................14Results...........................................................................................................................................15Statistical analysis........................................................................................................................18Discussion.....................................................................................................................................20Conclusion....................................................................................................................................22References.....................................................................................................................................24
FLUID THERAPY IN MAINTAINING HEMODYNAMIC STABILITY3AbstractPatients who are undergoing cardiac surgery find it challenging to tolerate intravenous fluid loadadministered before anesthesia induction. Recent studies have shown that the administration ofacetate-buffered means of fluid leads to a better stabilization as compared to saline fluid in thepatients who undergo surgery. These two methods have been applied to monitor the fluid flow inthe patients. The buffer within the balanced crystalloids solutions can have a modification effecton the hemodynamic procedures. This study compared the requirements in the Ringer's acetatewith the lactate for pre-operative management of the fluid for the patients undergoing pre-induction and post-induction of anaesthesia sessions in cardiac surgery. The implications of therandomized control design were done to compare the usage of acetate to that of lactateconcerning the average in pressor administration in the post-induction stabilization achievementof hemodynamic. The secondary outcomes available were the cumulative oppressor's dose thatwas administered to achieve stabilization. This study concludes that hemodynamic profiles forthe patients who receive lactate solution are relatively comparable to the ones receiving acetatesolutions. Also, the acid-base indicator evolution gave similar results.Keywords:hemodynamics, cardiac surgery, reoperation, post-operation, acid-baseindicator, lactate, Ringer's acetate
FLUID THERAPY IN MAINTAINING HEMODYNAMIC STABILITY4IntroductionCardiovascular surgery can sometimes lead to the generation of systematic inflammatoryresponses that increases the level of oxygen consumption. They are changes that result inalterations noted in oxygen consumption and cardiac output (Nekhendzy et al., 2007). Suchchanges can be fatal if not accurately addressed. Pre-operative hemodynamics is affected by theunderlying cardiac infection or cardiac disease (Barak, Yoav, and Abu el-Naaj, 2015). In cardiacsurgery, the inflammatory response can sometimes result in extensive complications. Manypatients need hours in the postoperative hemodynamics and its support after having undergonetheir surgery while they are still sedated within the Intensive Care Unit (Gondos et al., 2010).

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Term
Fall
Professor
Agnes shark
Tags
Lactated Ringer s solution, Fluid Therapy

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