Direct markers of organ perfusion to guide fluid therapy: when to start, when to stop.

G Veenstra; C Ince; E C Boerma

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Direct markers of organ perfusion to guide fluid therapy: when to start, when to stop.

机译：器官灌注的直接标志物指导液体疗法：何时开始，何时停止。

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Up until now, the discussion in the literature as to the choice of fluids is almost completely restricted to the composition, with little to no attention paid to the importance of hemodynamic end points to achieve a desired optimal volume. The determination of fluid volume is left to the discretion of the attending physician with only surrogate markers as guidance the initiation and cessation of fluid therapy. In this article, we aim to discuss the available literature on existing clinical and experimental criteria for the initiation and cessation of fluid therapy. Furthermore, we present recent data that have become available after the introduction of direct in?vivo microscopy of the microcirculation at the bedside, and discuss its potential influence on the existing paradigms and controversies in fluid therapy.

机译：迄今为止，文献中关于流体选择的讨论几乎完全限于组成，几乎没有注意血液动力学终点对于获得所需最佳体积的重要性。体液量的确定由主治医师自行决定，仅使用替代标记作为指导开始和停止体液治疗。在本文中，我们旨在讨论有关开始和停止输液治疗的现有临床和实验标准的可用文献。此外，我们介绍了在床旁引入微循环的直接体内显微镜检查后可获得的最新数据，并讨论了其对液体疗法中现有范例和争议的潜在影响。

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《Best practice & research:Clinical anaesthesiology》 |2014年第3期|共10页
作者
G Veenstra; C Ince; E C Boerma;
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正文语种 eng
中图分类麻醉学;
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1. 花叶千年木单个生殖器官和营养器官的体外直接再生的控制--单个器官直接再生的规律性 [J] . 陆文樑植物学报（英文版） . 2003,第012期
2. Direct markers of organ perfusion to guide fluid therapy: when to start, when to stop. [J] . G Veenstra, C Ince, E C Boerma Best practice & research:Clinical anaesthesiology . 2014,第3期

机译：器官灌注的直接标志物指导液体疗法：何时开始，何时停止。
3. Goal-directed intraoperative fluid therapy guided by mini-fluid challenge in elective colorectal resection: a prospective randomized study [J] . Zhang L., Wang S. Y., Liu B. British journal of anaesthesia . 2016,第6期

机译：选择性大肠切除术中以微流体挑战为指导的目标导向术中流体治疗：一项前瞻性随机研究
4. A randomised controlled trial of fluid restriction compared to oesophageal Doppler-guided goal-directed fluid therapy in elective major colorectal surgery within an Enhanced Recovery After Surgery program. [J] . T D Phan, B DSouza, M J Rattray, Anaesthesia and intensive care . 2014,第6期

机译：与选择性食管大肠手术中食管多普勒引导的目标导向输液治疗相比，输液受限的随机对照试验在增强的术后恢复程序范围内。
5. Large-scale Evaluation of V-Net for Organ Segmentation in Image Guided Radiation Therapy [C] . Miaofei Han, Yu Zhang, Qiangqiang Zhou, Society of Photo-Optical Instrumentation Engineers;SPIE Medical Imaging Conference . 2019

机译：影像引导放射治疗中用于器官分割的V-Net大规模评估
6. Surface markers for image-guided interstitial photodynamic therapy. [D] . Oakley, Emily. 2016

机译：用于图像引导的间隙光动力疗法的表面标记。
7. Goal-Directed Fluid Therapy Based on Stroke Volume Variations Improves Fluid Management and Gastrointestinal Perfusion in Patients Undergoing Major Orthopedic Surgery [O] . Ke Peng, Jian Li, Hao Cheng, 2014

机译：基于中风量变化的目标导向液体疗法可改善接受大骨外科手术的患者的液体管理和胃肠道灌注
8. Doppler-guided goal-directed fluid therapy does not affect intestinal cell damage but increases global gastrointestinal perfusion in colorectal surgery: a randomized controlled trial [O] . K. W. Reisinger, H. M. Willigers, J. Jansen, 2017

机译：多普勒引导的目标定向的液体疗法不会影响肠道细胞损伤，但增加了整体手术中的全球胃肠灌注：随机对照试验
9. Amelioration de la perfusion des organes vitaux par la valve d'impedance inspiratoire et le concept de pompe respiratoire: rationnel physiologique et application clinique (Improving Vital Organs Perfusion by the Respiratory Pump: Physiology and Clinical Use). [R] . Segal, N., Yannopoulos, D., Truchot, J., 2013

机译：amelioration de la perfusion des organes vitaux par la valve d'valve inspiratoire et le concept de pompe respiratoire：rationnel physiologique et application clinique（通过呼吸泵改善生命器官灌注：生理学和临床使用）。

Direct markers of organ perfusion to guide fluid therapy: when to start, when to stop.

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