Publications by authors named "Evandro L A Ferreira"
Resuscitation fluid practices in Brazilian intensive care units: a secondary analysis of Fluid-TRIPS.
Rev Bras Ter Intensiva
November 2021
Article Synopsis
- The study examined fluid resuscitation practices in Brazilian intensive care units and compared them to those in 27 other countries as part of the Fluid-TRIPS project.
- On the study day, a significantly lower percentage of patients in Brazil (16.1%) received fluids compared to patients in other countries (26.8%), with a higher emphasis on crystalloids, particularly sodium chloride (0.9%).
- Factors influencing fluid choice included patient serum albumin levels and the type of healthcare provider prescribing the fluids.
Purpose: To use blood lactate (BL) as an end-point metabolic marker for the begin resuscitation of volume replacement in experimental hemorrhagic shock.
Methods: Group I (n=7) was not bled (Control). Animals in Group II (n=7) were bled to a MAP of 30mmHg in thirty minutes.
Several controlled, experimental, hypotensive models of hemorrhagic shock have evaluated the effects of timing, rate, and types of fluid replacement. In a near-fatal experimental model we evaluated the hemodynamic and metabolic effects of two types of solutions for fluid resuscitation. In this study, 30 young Large-White pigs were randomly assigned to three groups: Group I (control, n= 10), not bled; Group II (hydroxyethyl starch, HES, n = 10), submitted to controlled hemorrhage to a mean arterial blood pressure (MAP) of 30 mmHg and blood lactate >10 mM/L, at which time resuscitation was initiated with 7 mL/kg of HES 130/0.
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