Hypotension is a common problem during spinal anesthesia for cesarean delivery. Intravenous fluid loading is used to correct preoperative dehydration and reduce the incidence and severity of hypotension. Different fluid regimens have been studied but colloid preload and crystalloid co-load have not been compared.
A topical application of tranexamic acid (TXA) after surgery is a simple, effective way to reduce blood loss, transfusions and the risk for systemic side effects, researchers have found. Normally given orally or intravenously, TXA has been used successfully in a variety of surgeries to prevent the dissolution of blood clots, but some clinicians are […]
The reversal efficacy of 2% lipid emulsion in cardiac asystole induced by different concentrations of bupivacaine is poorly defined and needs to be determined. Leggi l’articolo completo…
Bedside assessment of lung volume in clinical practice is crucial to adapt ventilation strategy. We compared bedside measures of lung volume by helium multiple-breath washout technique (EELVMBW,He) and effective lung volume based on capnodynamics (ELV) to those assessed from spiral chest CT scans (EELVCT) under different PEEP levels in control and surfactant-depleted lungs. Leggi l’articolo […]
Fluid management in the perioperative period has been extensively studied but, despite that, “the right amount” still remains uncertain. The purpose of this paper is to summarize the state of the art of intraoperative fluid approach today. Leggi l’articolo completo… m4s0n501