Complexity of blood volume control system and its implications in perioperative fluid management

2009 ◽  
Vol 23 (4) ◽  
pp. 534-542 ◽  
Author(s):  
Takehiko Iijima
1990 ◽  
Vol 13 (2) ◽  
pp. 83-86 ◽  
Author(s):  
S. Stiller ◽  
U. Schallenberg ◽  
U. Gladziwa ◽  
E. Ernst ◽  
H. Mann

Nephron ◽  
2002 ◽  
Vol 92 (3) ◽  
pp. 605-609 ◽  
Author(s):  
Chantalle Wolkotte ◽  
Daxenos R. Hassell ◽  
Karin Moret ◽  
Paul G. Gerlag ◽  
A. Warmold van den Wall Bake ◽  
...  

2011 ◽  
Vol 34 (4) ◽  
pp. 357-364 ◽  
Author(s):  
Ljubiša Veljančicć ◽  
Jovan Popović ◽  
Milan Radović ◽  
Peter Ahrenholz ◽  
Wolfgang Ries ◽  
...  

2019 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Susanne Kron ◽  
Daniel Schneditz ◽  
Til Leimbach ◽  
Joachim Kron

2010 ◽  
pp. 291-297
Author(s):  
Guido Grassi ◽  
Raffaella Dell’Oro ◽  
Fosca Quarti-Trevano ◽  
Giuseppe Mancia

1984 ◽  
Vol 60 (5) ◽  
pp. 478-480 ◽  
Author(s):  
Peter L. Klineberg ◽  
Chin A. Kam ◽  
David C. Johnson ◽  
Timothy B. Cartmill ◽  
John H. Brown

1990 ◽  
Vol 258 (1) ◽  
pp. R149-R154 ◽  
Author(s):  
C. R. Anderson ◽  
T. R. Houpt

Young female pigs weighing from 15 to 45 kg were used. Plasma osmolality was slowly raised by an intravenous infusion of 15% NaCl. The behavioral threshold was when the pigs began to drink water, and the rise of osmolality was the stimulus. In 23 measurements on 8 pigs the rise of osmolality to initiate drinking was 10.4 +/- 1.4 mosmol/kg (mean +/- SE). There was also an estimated 3.8 +/- 1.4% rise of blood volume. Control infusions of 0.9% NaCl for 1 h usually resulted in no drinking, and plasma osmolality fell by 6.7 +/- 2.1 mosmol/kg, while blood volume did not change. Hypovolemia was effected using furosemide (1 mg/kg body wt) to cause excretion of nearly isotonic urine. Blood volume changes were estimated from plasma protein and packed cell volume data. In 28 measurements on 6 pigs, drinking occurred when blood volume had decreased by 6.7 +/- 1.8%. During 2-h control periods, blood volume did not change appreciably. Plasma osmolality decreased during both the furosemide treatment (by 3.5 +/- 0.7 mosmol/kg) and the controls (by 4.1 +/- 0.8 mosmol/kg).


1995 ◽  
Vol 18 (9) ◽  
pp. 495-498 ◽  
Author(s):  
E. Mancini ◽  
A. Santoro ◽  
M. Spongano ◽  
F. Paolini ◽  
P. Zucchelli

Due to the crucial role of hypovolemia in the genesis of dialysis-induced hypotension, we have evaluated whether the automatic control of the intradialytic blood volume (BV) decrease along a preset trajectory might be beneficial to the hemodynamic stability during treatment. Five frequently hypotensive HD patients were studied and a 3-period-protocol (A1-B-A2) was adopted, each period lasting 6 sessions per patient. During the B periods the patient BV decrease was kept along a predefined profile, thanks to an automatic system with a retroactive control of both the ultrafiltration rate (UFR) and dialysate conductivity (DC); instead, during the A periods, conventional HD was performed, with linear UFR and constant DC, inducing a spontaneous decrease in BV. The intradialytic BV behaviour was much more stable during the B-periods (-10.2 ∓ 1.4% by the end of the treatment) than during the A1 (-11.2 ∓ 3%) and A2 periods (-11.5 ∓ 2.5%). Only one dialysis-hypotension episode was observed during the B periods, compared to 8 and 5 during the A1 and A2 periods, respectively (p ≤ 0.05). The automatic control of the BV changes during dialysis could improve the intra-treatment cardiovascular stability in critically-ill patients.


2011 ◽  
Vol 75 (4) ◽  
pp. 874-883 ◽  
Author(s):  
Cheng-Han Lee ◽  
Synthia H. Sun ◽  
Shing-Hong Lin ◽  
Chih-Cheng Chen

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