The Experts below are selected from a list of 2214 Experts worldwide ranked by ideXlab platform
Lesley Linus - One of the best experts on this subject based on the ideXlab platform.
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Comparative study of Ringer’s Lactate Solution and 6% hydroxyethyl starch Solution as pre-loading fluid for prevention of hypotension following spinal anesthesia
International Journal of Research in Medical Sciences, 2017Co-Authors: T. Mohan Singh, Lesley LinusAbstract:Background: Arterial hypotension following spinal anesthesia still remains the leading cause for maternal mortality and morbidity. Active management of hypotension and more so its prevention of its ads more safety value to spinal anesthesia, which is widely practiced worldwide. Preloading of patients with either crystalloid or colloid prevents the severity of hypotension. Objectives of the study was to compare the preloading efficacy of Ringers Lactate Solution (20 ml/kg) and 6% hydroxyl ethyl starch at 10 ml/kg in prevention of hypotension following spinal anesthesia in elective caesarean section. Methods: 100 ASA grade I and grade II subjects for elective caesarean section were studied in two groups. Group A (Ringer Lactate group) 50 subjects and Group B (hydroxyl ethyl starch group) 50 subjects. Each group was preloaded over a period of 20 minutes before spinal anesthesia with either Ringer Lactate Solution (Group A) at 20 ml/kg or 6% hydroxyl ethyl starch group at 10 ml/kg body weight. Main outcome measures were mean systolic blood pressure, mean diastolic blood pressure, mean arterial blood pressure and mean heart rate. Results: Demographic characteristics of both groups were comparable. Incidence of hypotension was significantly more in Ringer Lactate group. There was no significant difference of heart rate in both the groups. No allergic reaction was noted to hydroxyl ethyl starch. Vasopressor requirement was also low in hydroxyl ethyl starch group compared to Ringer Lactate group. Conclusions: Preloading subjects with 6% hydroxyl ethyl starch is beneficial than preloading with Ringer Lactate Solution as it produces better hemodynamic stability to subjects.
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comparative study of Ringer s Lactate Solution and 6 hydroxyethyl starch Solution as pre loading fluid for prevention of hypotension following spinal anesthesia
International Journal of Research in Medical Sciences, 2017Co-Authors: Mohan T Singh, Lesley LinusAbstract:Background: Arterial hypotension following spinal anesthesia still remains the leading cause for maternal mortality and morbidity. Active management of hypotension and more so its prevention of its ads more safety value to spinal anesthesia, which is widely practiced worldwide. Preloading of patients with either crystalloid or colloid prevents the severity of hypotension. Objectives of the study was to compare the preloading efficacy of Ringers Lactate Solution (20 ml/kg) and 6% hydroxyl ethyl starch at 10 ml/kg in prevention of hypotension following spinal anesthesia in elective caesarean section. Methods: 100 ASA grade I and grade II subjects for elective caesarean section were studied in two groups. Group A (Ringer Lactate group) 50 subjects and Group B (hydroxyl ethyl starch group) 50 subjects. Each group was preloaded over a period of 20 minutes before spinal anesthesia with either Ringer Lactate Solution (Group A) at 20 ml/kg or 6% hydroxyl ethyl starch group at 10 ml/kg body weight. Main outcome measures were mean systolic blood pressure, mean diastolic blood pressure, mean arterial blood pressure and mean heart rate. Results: Demographic characteristics of both groups were comparable. Incidence of hypotension was significantly more in Ringer Lactate group. There was no significant difference of heart rate in both the groups. No allergic reaction was noted to hydroxyl ethyl starch. Vasopressor requirement was also low in hydroxyl ethyl starch group compared to Ringer Lactate group. Conclusions: Preloading subjects with 6% hydroxyl ethyl starch is beneficial than preloading with Ringer Lactate Solution as it produces better hemodynamic stability to subjects.
T. M. Gulik - One of the best experts on this subject based on the ideXlab platform.
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Hypothermic in situ perfusion of the porcine liver using Celsior or Ringer-Lactate Solution
Langenbeck's Archives of Surgery, 2009Co-Authors: Sander Dinant, H. J. Roseboom, Marcel Levi, A. K. Vliet, T. M. GulikAbstract:Background Hypothermic perfusion (HP) of the liver is applied during total vascular exclusion (TVE) to reduce ischemic injury during liver resection. No studies have been performed comparing different perfusion Solutions for HP. The aim of this experimental study was to compare Ringer-Lactate Solution (RL) with Celsior Solution (Cs) for HP in a pig model of 60-min TVE. Method Twenty pigs underwent 60-min TVE of the liver. Groups were TVE without HP (no-HP, n = 9), TVE with HP using RL ( n = 6), and TVE with HP using Cs ( n = 5). Blood and liver tissue samples were taken before TVE and during 24-h reperfusion. Results In the no-HP group, plasma aspartate aminotransferase values were significantly increased during reperfusion ( p
Andrei Keida - One of the best experts on this subject based on the ideXlab platform.
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effect of the volume of fluids administered on intraoperative oliguria in laparoscopic bariatric surgery a randomized controlled trial
Archives of Surgery, 2012Co-Authors: Idi Mato, Radostina Paskaleva, Luminita Eid, Kere Cohe, Abed Khalaileh, Ram Elazary, Andrei KeidaAbstract:Objective To determine whether intraoperative fluid management affects urine output in patients undergoing laparoscopic bariatric operations. Design Randomized controlled trial. Setting Academic tertiary referral center. Patients Morbidly obese patients scheduled to undergo laparoscopic bariatric procedures. Interventions Patients were randomly assigned to receive intraoperatively high (10 mL/kg/h, n = 55) or low (4 mL/kg/h, n = 52) amounts of Ringer Lactate Solution. Main Outcome Measures The primary end point was urine output. Secondary end points were postoperative creatinine serum concentration and complication rate. Results Significantly more fluids were administered intraoperatively to patients in the high-volume group compared with the low-volume group (P Conclusions In patients undergoing laparoscopic bariatric surgery, intraoperative urine output is low regardless of the use of relatively high-volume fluid therapy. The results suggest that we should reconsider the common practice to administer intraoperative fluids in response to low urine output. Further studies are required to evaluate these data in other surgical patient populations. Trial Registration clinicaltrials.gov Identifier: NCT00753402
Sander Dinant - One of the best experts on this subject based on the ideXlab platform.
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Hypothermic in situ perfusion of the porcine liver using Celsior or Ringer-Lactate Solution
Langenbeck's Archives of Surgery, 2009Co-Authors: Sander Dinant, H. J. Roseboom, Marcel Levi, A. K. Vliet, T. M. GulikAbstract:Background Hypothermic perfusion (HP) of the liver is applied during total vascular exclusion (TVE) to reduce ischemic injury during liver resection. No studies have been performed comparing different perfusion Solutions for HP. The aim of this experimental study was to compare Ringer-Lactate Solution (RL) with Celsior Solution (Cs) for HP in a pig model of 60-min TVE. Method Twenty pigs underwent 60-min TVE of the liver. Groups were TVE without HP (no-HP, n = 9), TVE with HP using RL ( n = 6), and TVE with HP using Cs ( n = 5). Blood and liver tissue samples were taken before TVE and during 24-h reperfusion. Results In the no-HP group, plasma aspartate aminotransferase values were significantly increased during reperfusion ( p
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Hypothermic in situ perfusion of the porcine liver using Celsior or Ringer-Lactate Solution
Langenbeck's Archives of Surgery, 2008Co-Authors: Sander Dinant, H. J. Roseboom, Marcel Levi, A. K. Van Vliet, T. M. Van GulikAbstract:Background Hypothermic perfusion (HP) of the liver is applied during total vascular exclusion (TVE) to reduce ischemic injury during liver resection. No studies have been performed comparing different perfusion Solutions for HP. The aim of this experimental study was to compare Ringer-Lactate Solution (RL) with Celsior Solution (Cs) for HP in a pig model of 60-min TVE.
D A Ferreira - One of the best experts on this subject based on the ideXlab platform.
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volume replacement with hydroxyethyl starch hes 130 0 4 and Ringer Lactate Solution in pigs after severe haemorrhage a small bowel mucosa preliminary study
European Journal of Anaesthesiology, 2011Co-Authors: A L Oliveira, Carlos Venâncio, A Silva, Almir Pereira De Souza, Helena Vala, D A FerreiraAbstract:Portuguese Foundation for Science and Technology under the project COMPETE: FCOMP-01-0124-FEDER-009525 (PTDC/CVT/101999/2008)
