Circulatory, Fluid Management and Patient Outcome

Fluid responsiveness in acute circulatory failure.

Although fluid resuscitation of patients having acute circulatory failure is essential, avoiding unnecessary administration of fluids in these patients is also important. Fluid responsiveness (FR) is defined as the ability of the left ventricle to increase its stroke volume (SV) in response to fluid administration. The objective of this review is to provide the recent advances in the detection ...

Fluid and electrolyte management of the adult surgical patient.

Mechanical circulatory support for advanced heart failure: effect of patient selection on outcome.

BACKGROUND Use of wearable left ventricular assist systems (LVAS) in the treatment of advanced heart failure has steadily increased since 1993, when these devices became generally available in Europe. The aim of this study was to identify in an unselected cohort of LVAS recipients those aspects of patient selection that have an impact on postimplant survival. METHODS AND RESULTS Data were obt...

Does restrictive intraoperative fluid management alter outcome after intraabdominal surgery?

To the Editor:—I read with great interest the recent article by Nisanevich et al. suggesting that restricted fluid therapy for intraabdominal surgery reduces postoperative morbidity. My comments focus on the description of the statistical methods and their application to the data. The authors mention the use of both the chi-square test and Fisher exact test for the analysis of categorical data....

Listeria endocarditis: current management and patient outcome--world literature review.

This is believed to be the 58th reported case of Listeria monocytogenes infective endocarditis. Published reports worldwide were reviewed as to treatment, outcome, and prognostic features. There is controversy over whether all patients with this condition should have surgery. Moreover the best antibiotic treatment is not known, which accounts for the heterogeneity of regimens used. Listeria end...