SciELO - Scientific Electronic Library Online

 
vol.139 número9Proceso logístico productivo de un centro de sangre regional: modelamiento y análisisAdaptación y validación de la versión chilena de la escala de impacto de evento-revisada (EIE-R) índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

Compartir


Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

CONCHA P, Mario et al. Transesophageal echocardiography to monitor fluid administration during the perioperative period. Rev. méd. Chile [online]. 2011, vol.139, n.9, pp.1157-1162. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872011000900007.

Background: During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements. Aim: To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters. Material and Methods: Twenty-four patients subjected to colon resection were randomized to monitoring by electrocardiography, blood and central venous pressure, or by transesophageal echocardiography. In the latter, volume administration was adjusted to maintain basal values of left ventricular end diastolic volume and cardiac index. Results: Patients with the standard monitoring system and transesophageal echocardiographic monitoring received 21.1±12 and 6.3 ± 2 ml/kg/h of fluids during the perioperative period, respectively (p < 0.01). Conclusions: The use of transesophageal echocardiography significantly reduced the perioperative fluid administration.

Palabras clave : Central venous pressure; Echocardiography, transesophageal; Intravascular procedures.

        · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons