| The availability of circulating blood volume values alters fluid management in critically ill surgical patients. | |
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MedLine Citation:
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PMID: 19185111 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study evaluated whether commercially available blood volume measurements in critically ill surgical patients altered fluid management. METHODS: Patients admitted to the surgical intensive care unit of a tertiary care teaching hospital were prospectively evaluated. The frequency of changes in fluid management when results of blood volume measurements were available was determined. RESULTS: In a pilot study, the frequency of instances when measurement of blood volume would have altered fluid management was statistically significant (P = .0003). In 40 subsequent patients, treatment change occurred in 36% of instances when blood volume results were obtained (P < .001). In the majority, no immediate qualitative change in clinical status occurred, with a desirable clinical response in 39% and no negative treatment responses (P < .001). CONCLUSIONS: Blood volume measurements may assist in the management of critically ill surgical patients by providing a direct measure of intravascular volume. Further studies are warranted to determine its effect on outcome. |
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Authors:
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Danny M Takanishi; Elisabeth N Biuk-Aghai; Mihae Yu; Fedor Lurie; Hideko Yamauchi; Hao C Ho; Alyssa D Chapital; Wega Koss |
Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of surgery Volume: 197 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-02 Completed Date: 2009-03-04 Revised Date: 2009-05-20 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 232-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, University of Hawaii, Honolulu, HI, USA. dtakanis@hawaii.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Volume* Critical Illness / therapy* Female Fluid Therapy* Humans Intensive Care Male Middle Aged Pilot Projects Prospective Studies Single-Blind Method Surgical Procedures, Operative |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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