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Balanced Volume Replacement Strategy: Fact or Fiction?

  • J. Boldt

Abstract

Adequate volume restoration in the hypovolemic patient appears to be essential to stave non-compensatory, irreversible shock and subsequently to avoid development of multiple organ dysfunction syndrome. Vigorous optimization of the circulation is a prerequisite in the management of such patients. This maneuver is aimed at guaranteeing stable macro- and micro-hemodynamics, while avoiding excessive fluid accumulation in the interstitial tissue. The choice of fluid for this purpose engenders considerable controversy and there is still a dispute over the beneficial and adverse effects of each fluid type.

Keywords

Platelet Function Multiple Organ Dysfunction Syndrome Hydroxyethyl Starch Volume Replacement Abdominal Aortic Aneurysm Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science + Business Media Inc. 2007

Authors and Affiliations

  • J. Boldt
    • 1
  1. 1.Department of Anesthesiology and Intensive Care MedicineKlinikum der Stadt LudwigshafenLudwigshafenGermany

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