医学
围手术期
复苏
去甲肾上腺素
麻醉
显微外科
血管活性
多巴酚丁胺
血管收缩药
重症监护医学
肾上腺素
外科
血流动力学
内科学
血管收缩
多巴胺
作者
Rachel Safeek,J.T. Bryan,Frederick Heath,Ellen Satteson,Adrian J. Maurer,Bauback Safa,Sarah Sorice-Virk
出处
期刊:Microsurgery
[Wiley]
日期:2023-04-13
卷期号:43 (5): 496-506
摘要
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.
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