title: [Fluid therapy in cardiac surgery. An update].
abstract: The anesthetist has 2 major tools for optimizing haemodynamics in cardiac surgery: Vasoactive drugs and the intravascular volume. It is necessary to identify which patients would benefit from one or the other therapies for a suitable response to treatment. Hemodynamic monitoring with the different existing parameters (pressure, volumetric static, volumetric functional and echocardiography) allows the management of these patients to be optimized. In this article a review is presented on the most recent and relevant publications, and the different tools available to control the management of the fluid therapy in this context, and to suggest a few guidelines for the haemodynamics monitoring of patients submitted to cardiac surgery. A systematic search has been made in PubMed, limiting the results to the publications over the last five years up to February 2012.
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital del Vinalopó, Elche, Alicante, España. Electronic address: esstefania@hotmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Boix
authors.affiliation: Unidad de Reanimación, Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Universitario y Politécnico La Fe, Valencia, España.
authors.forename: R
authors.initials: R
authors.lastname: Vicente
authors.affiliation: Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital del Vinalopó, Elche, Alicante, España.
authors.forename: J
authors.initials: J
authors.lastname: Pérez-Artacho
mesh_terms: D000776:Anesthesiology / Q000379:methods*; D001794:Blood Pressure; D001810:Blood Volume; D006348:Cardiac Surgical Procedures; D002496:Central Venous Pressure; D004452:Echocardiography / Q000379:methods; D005440:Fluid Therapy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D016343:Monitoring, Intraoperative / Q000379:methods*; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000494:pharmacology; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000494:pharmacology; D014883:Water-Electrolyte Imbalance / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control
chemical_list: D014662:Vasoconstrictor Agents; D014665:Vasodilator Agents
keywords: Cardiac output; Cardiac surgery; Cirugía cardiaca; Echocardiography; Ecocardiografía; Fluid therapy; Fluidoterapia; Gasto cardiaco; Hemodynamic monitoring; Monitorización hemodinámica