Evidence based recommendations for perioperative vasopressor use and fluid resuscitation in microsurgery.
Abstract
Blood pressure regulation is critical in patients undergoing microsurgical free tissue transfer; however, guidelines for addressing and preventing perioperative hypotension remain highly debated, with two current thought paradigms: (1) intravenous fluid administration with a balanced salt solution (e.g., lactate ringer and normal saline) and/or colloid (e.g., albumin) and (2) vasoactive pharmacological support with vasopressors (e.g., dobutamine, norepinephrine, epinephrine), with fluid administration being the preferred conventional approach. Here, we review the most up to date available literature and summarize currents perspectives and practices for fluid resuscitation and vasopressor use, while offering evidence-based guidelines to each.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 1 | |
| 해부 | Blood
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 약물 | epinephrine
|
에피네프린 | dict | 1 | |
| 약물 | lactate
|
C0022924
Lactates
|
scispacy | 1 | |
| 약물 | vasopressors
|
C0042397
Vasoconstrictor Agents
|
scispacy | 1 | |
| 약물 | dobutamine
|
C0012963
dobutamine
|
scispacy | 1 | |
| 약물 | norepinephrine
|
C0028351
norepinephrine
|
scispacy | 1 | |
| 약물 | intravenous fluid
|
scispacy | 1 | ||
| 질환 | hypotension
|
C0020649
Hypotension
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | albumin
|
scispacy | 1 |
MeSH Terms
Humans; Microsurgery; Vasoconstrictor Agents; Epinephrine; Norepinephrine; Fluid Therapy
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Endodontic implications of hypercementosis: A systematic review of anatomical challenges and therapeutic strategies.
- Breast plastic surgery in perimenopausal and postmenopausal women: Menopause-informed counseling on screening, safety, and long-term breast health.
- Application of the SCIA-Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature.
- Free flap reconstruction of a cast-related pressure ulcer in a pediatric patient with spinal muscular atrophy.
- Characterization of Trimmed Nerve Morphology Using High-Resolution Imaging: Comparison of Three Surgical Instruments.