Fluid resuscitation, laryngeal oedema and severe dengue

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Fluid resuscitation, laryngeal oedema and severe dengue

The publication on ‘Fluid resuscitation, laryngeal oedema and severe dengue’ is very interesting.[1] Saran and Azim reported a case and raised an interesting question ‘can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue?’[1] Indeed, good monitoring is required for fluid therapy for severe dengue since the complication of fluid overload is possible.[2] There is no doub...

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Can fluid resuscitation be a risk factor for laryngeal oedema in severe dengue?

We sincerely thank the authors for their questions. We accept that bleeding in respiratory tract can be a complication of severe dengue, but it did not occur in our illustrated case.[1] It is difficult to point to a single factor that is responsible, as the disease manifests with multi-organ involvement. We suggest fluid resuscitation as an additional risk factor which is rarely discussed in th...

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Fluid and Hemodynamic Management in Severe Dengue.

In the critical phase of dengue fever, the leakage of intravascular fluid into interstitial space and 3rd space can cause hemoconcentration and severe complications such as dengue shock syndrome (DSS), and it can lead to multiple organ failure, followed by death. Close monitoring, early detection and prompt management are the keys in successful treatment. In a hemodynamically unstable patient, ...

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Restrictive versus Liberal Fluid Resuscitation in Children with Dengue Shock Syndrome: the differences in Clinical Outcomes and Hemodynamic Parameters

Background: Fluid resuscitation is the mainstay of treatment to counteract massive plasma leakage in dengue shock syndrome. We aimed to determine the differences in clinical outcomes and hemodynamic parameters of children with dengue shock syndrome post restrictive and liberal fluid resuscitation.  Materials and Methods: A retrospective observational study of pediatric patients who were betwee...

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Fluid resuscitation and vasopressors in severe trauma patients.

PURPOSE OF REVIEW To discuss the fluid resuscitation and the vasopressor support in severe trauma patients. RECENT FINDINGS A critical point is to prevent a potential increase in bleeding by an overly aggressive resuscitative strategy. Indeed, large-volume fluid replacement may promote coagulopathy by diluting coagulation factors. Moreover, an excessive level of mean arterial pressure may ind...

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2017

ISSN: 0019-5049

DOI: 10.4103/ija.ija_345_17