Singh Sumit, Kuschner Ware G, Lighthall Geoffrey
Department of Anesthesiology and Critical Care, Ronald Reagan UCLA Medical Center, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 2231, Los Angeles, CA, 90095, USA.
Anesthesiol Res Pract. 2011;2011:231493. doi: 10.1155/2011/231493. Epub 2011 Jul 12.
Accurate assessments of intravascular fluid status are an essential part of perioperative care and necessary in the management of the hemodynamically unstable patient. Goal-directed fluid management can facilitate resuscitation of the hypovolemic patient, reduce the risk of fluid overload, reduce the risk of the injudicious use of vasopressors and inotropes, and improve clinical outcomes. In this paper, we discuss the strengths and limitations of a spectrum of noninvasive and invasive techniques for assessing and monitoring intravascular volume status and fluid responsiveness in the perioperative and critically ill patient.
准确评估血管内液体状态是围手术期护理的重要组成部分，对于血流动力学不稳定患者的管理也必不可少。目标导向性液体管理有助于低血容量患者的复苏，降低液体超负荷风险，减少不当使用血管升压药和正性肌力药的风险，并改善临床结局。在本文中，我们讨论了一系列用于评估和监测围手术期及危重症患者血管内容量状态和液体反应性的非侵入性和侵入性技术的优缺点。
