There are physiological bases to believe that hypertonic saline (HS) may be an ideal option when reanimating patients in the postsurgical care of the heart-lung machine bypass, by increasing intravascular osmolarity and redistribute the liquids toward this compartment.
Es una publicación que recibe manuscritos en idioma español e inglés que tiene todas las facilidades modernas de la vía de la electrónica para la recepción y aceptación de las investigaciones Patios de casas cardiovasculares clínica y experimental. One patient from each group withdrew their informed consent immediately after the allocation and were removed from the analysis.
Secondary outcomes included heart rate, mean arterial blood pressure, central venous pressure, pulmonary wedge pressure, cardiac index, arterial pH, bicarbonate, hematocrit, base deficit, mixed venous oxygen saturation and oxygenation index (PaFi) into the same measurements time.
2), nor were they found in other repeated measurements (Table 2). How perioperative fluid balance influences postoperative outcomes. This allocation was only known by the pharmaceutical mixing center, located outside the hospital and in charge of manufacturing and packing solutions to administer to participants.
Flow chart for patients in the study. SJR es una prestigiosa métrica basada en la idea que todas las citaciones no son iguales. Our study was not able to demonstrate better lactate depuration using a dose of 7.5% hypertonic saline compared with a 0.9% saline bolus.
The authors have obtained the written informed consent of the patients or subjects mentioned in the article. Furthermore, returning patients to the ICU was not necessary. Hypertonic versus near isotonic crystalloid for fluid resuscitation in critically ill patients.
No statistically significant differences were observed in any secondary outcome (Table 3). 10 patients of each group had acute kidney injury stage I according to AKIN classification, and there were no reports of cases of hypernatremia, osmotic demyelination, cerebral edema, cardiogenic pulmonary edema or needed of renal replacement therapy.
There were also evaluated days of hospital and ICU stay, hours of invasive and non-invasive mechanical ventilation, balance of fluids administered and eliminated, requirement of vasoactive and inotropic drugs, transfusion requirements and ICU readmission.
Corporación de Fomento Asistencial del Hospital Universitario San Vicente de Paúl” (CORPAUL) (San Vicente de Paul University Hospital Corporation for the Promotion of Care) provided the labeled solutions for this study. Preoperative risk factors, baseline characteristics, surgery times and heart-lung machine bypass times were similar in both groups (Table 1).
La revista Archivos de Cardiología de México representa el órgano oficial del instituto Nacional de Cardiología Ignacio Chávez, de la Sociedad Mexicana de Cardiología y de los internos y becarios del instituto que es SIBIC-Internacional. Relationship between serum lactate levels and morbidity outcomes in cardiovascular patients.