Fluid Resuscitation After Cardiac Surgery: The Quest for the Ideal Fluid

fluid resuscitation, which fluid is the best for each patient? a systematic review and meta analysis

conclusions the results of this meta-analysis show that colloid fluids can increase the successful resuscitation rate compared to crystalloid fluids especially in traumatic and hypovolemic patients.some of the colloids like albumin and dextran have a positive effect on reducing the mortality rate but others like hetastarch (hes) increase the mortality rate compared to normal saline (ns). result...

Standards for resuscitation after cardiac surgery.

Of the 250 000 patients who undergo major cardiac operations in the United States annually, 0.7% to 2.9% will experience a postoperative cardiac arrest. Although Advanced Cardiac Life Support (ACLS) is the standard approach to management of cardiac arrest in the United States, it has significant limitations in these patients. The European Resuscitation Council (ERC) has endorsed a new guideline...

Fluid resuscitation practices in cardiac surgery patients in the USA: a survey of health care providers

BACKGROUND Fluid resuscitation during cardiac surgery is common with significant variability in clinical practice. Our goal was to investigate current practice patterns of fluid volume expansion in patients undergoing cardiac surgeries in the USA. METHODS We conducted a cross-sectional online survey of 124 cardiothoracic surgeons, cardiovascular anesthesiologists, and perfusionists. Survey qu...

Resuscitation after Cardiac Surgery: An Evidence-Based Guideline Resuscitation after cardiac surgery: an Evidence-based Guideline

Fluid resuscitation for the trauma patient.

Attempts at prehospital fluid replacement should not delay the patient's transfer to hospital. Before bleeding has been stopped, a strategy of controlled fluid resuscitation should be adopted. Thus, the risk of organ ischaemia is balanced against the possibility of provoking more bleeding with fluids. Once haemorrhage is controlled, normovolaemia should be restored and fluid resuscitation targe...