Guyton's hemodynamic mosaic: crafting fluid management with precision.

IF 5.7 1区 医学 Q1 CRITICAL CARE MEDICINE Annals of Intensive Care Pub Date : 2025-01-03 DOI:10.1186/s13613-024-01416-w
Rogerio Da Hora Passos, Luciano Ribeiro Pereira Silva, Leonardo Van De Wiel Barros Urbano Andari, Uri Adrian Prync Flato, Murillo Santucci Cesar Assunção, Thiago Domingos Corrêa
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Abstract

Sheldon Magder's article on applying Arthur Guyton's principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP's variable accuracy and the oversimplification of cardiovascular dynamics. Integrating RAP with dynamic assessments and bedside ultrasound can enhance fluid management strategies. Future research should aim to improve RAP's predictive accuracy and validate its clinical utility for individualized patient care.

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盖顿的血流动力学马赛克:精密制作流体管理。
Sheldon Magder关于将Arthur Guyton的原理应用于临床流体管理的文章为优化危重患者的血液动力学提供了有价值的见解。在强调右房压(RAP)在评估心输出量中的作用的同时,由于RAP的准确性不稳定和心血管动力学的过度简化,也带来了挑战。将RAP与动态评估和床边超声相结合可以增强流体管理策略。未来的研究应旨在提高RAP的预测准确性,并验证其在个体化患者护理中的临床应用。
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来源期刊
Annals of Intensive Care
Annals of Intensive Care CRITICAL CARE MEDICINE-
CiteScore
14.20
自引率
3.70%
发文量
107
审稿时长
13 weeks
期刊介绍: Annals of Intensive Care is an online peer-reviewed journal that publishes high-quality review articles and original research papers in the field of intensive care medicine. It targets critical care providers including attending physicians, fellows, residents, nurses, and physiotherapists, who aim to enhance their knowledge and provide optimal care for their patients. The journal's articles are included in various prestigious databases such as CAS, Current contents, DOAJ, Embase, Journal Citation Reports/Science Edition, OCLC, PubMed, PubMed Central, Science Citation Index Expanded, SCOPUS, and Summon by Serial Solutions.
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