1887

Fluid therapy and blood transfusion

image of Fluid therapy and blood transfusion
GBP
Online Access: GBP25.00 + VAT
BSAVA Library Pass Buy a pass

Abstract

In the past, the administration of fluids in the perioperative period and in the critical care setting has been largely based on anecdote and/or flawed studies rather than sound evidence. Understanding of body fluid kinetics is rapidly advancing, and recommendations for fluid therapy are changing to keep pace with these developments. This chapters looks at fluid distribution and composition within the body, physical principles and measurements, recognition of fluid deficits, types of fluid loss, routes of fluid administration, types of fluid, blood transfusion, equipment for fluid therapy and blood tranfusion, fluid therapy for anaesthesia, monitoring fluid therapy.

Loading full text...

Full text loading...

/content/chapter/10.22233/9781910443231.chap18

Figures

Image of 18.1
18.1 Body water distribution between the intracellular and extracellular (plasma plus interstitial) fluid compartments. See text for explanation.
Image of 18.2
18.2 Osmosis. Direction of arrow indicates the movement of water. The increased number of particles creates an osmotic gradient allowing the movement of water through the semipermeable membrane so that the concentrations of each compartment become equal.
Image of 18.3
18.3 Diagrammatic and mathematical representations of Starling’s forces governing transcapillary fluid movement. A = capillary hydrostatic pressure; B = interstitial hydrostatic pressure; C = capillary oncotic pressure; D = interstitial oncotic pressure. The Starling equation can be simplified as: Filtration = (A – B) – (C – D) or hydrostatic pressure difference – oncotic pressure difference.
Image of 18.4
18.4 Schematic representation of the endothelium and the glycocalyx layer in a capillary. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and are printed with her permission.
Image of 18.10
18.10 Recommended infusion rates of blood products.
Image of 18.12
18.12 A burette (sometimes called a buretrol).
Image of 18.13
18.13 An in-line infusion rate, dial type flow controller.
Image of 18.14
18.14 A pressure infuser placed around a fluid bag.
Image of 18.15
18.15 In-line clot filter for the administration of blood and plasma.
Image of 18.16
18.16 In-line filter for use with a syringe for administration of small volumes of blood and plasma.
Image of 18.17
18.17 In-line intravenous fluid warming pod. (Courtesy of Tanya Duke-Novakovski, Western College of Veterinary Medicine, University of Saskatchewan, Canada)
Image of 18.19
18.19 Graphical representation of goal-directed therapy. See text for explanation. (Adapted and simplified from )
Image of 18.21
18.21 Idealized Frank–Starling curve demonstrating changes in stroke volume in response to preload. See text for explanation.

More like this

/content/chapter/10.22233/9781910443231.chap18
dcterms_title,dcterms_description
-contentType:Journal
5
5
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error