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  • Comparison Between the Impact of Vasopressors and Goal-Directed Fluid . . .
    Administration methods include both intravenous bolus and continuous infusion [8, 9] A continuously infused low-dose vasopressor drip in combination with the use of neuromuscular blocker to reduce the dose of systemic anesthesia can stabilize MAP and improve flap perfusion after anastomosis [10]
  • Free flap management - Surgicalcriticalcare. net
    Successful free flap management focuses on three areas: close monitoring of the patient and fresh flap, anticoagulation, and fluid resuscitation Close ICU monitoring is paramount to early intervention in the event of complications Anticoagulation appears beneficial only in preventing venous thromboembolic events in high risk patients
  • DIEP FLAP CLINICAL PATHWAY - UW Medicine
    DIEP FLAP CLINICAL PATHWAY Last updated: 1 20 16 Contact Inpatient Milestones : 4SE Floor LOS = 2-3 days, Target Post-op LOS = 3-4 days Day 2 hrs, if Transfer to 4SE Diet: Start general diet at 9AM Flap checks Q2 stable Pain: Ketorolac* 15mg IV Q6hrs for 48 hours (transition to PO NSAID after 48hrs) Pain: Acetaminophen 1000mg po Q6 hrs
  • Perioperative fluid management and use of vasoactive and antithrombotic . . .
    Various anesthesiological and anticoagulant methods are applied in free flap surgery, but for the ideal approach there is no consensus This article provides clinical recommendations on perioperative fluid management and the use of vasoactive and antithrombotic agents and offers a balanced view on the risks and benefits
  • A proven perioperative protocol for free flap surgery in a patient with . . .
    This perioperative anticoagulation protocol enabled a successful free flap reconstruction in a patient newly diagnosed with HIT The following week, a second free flap reconstruction was required for coverage of the patient's fractured right calcaneus
  • Intravenous fluid therapy in adults in hospital - NCBI Bookshelf
    There is a clear need for guidance on IV fluid therapy for general areas of hospital practice, covering both the prescription and monitoring of IV fluid and electrolyte therapy, and the training and educational needs of all hospital staff involved in IV fluid management
  • Early venous congestion after DIEP flap breast reconstruction: case . . .
    In this report, we present the management of a patient who underwent a DIEP flap breast reconstruction complicated by sudden constitutional venous congestion during the first postoperative day
  • question about Alaris pump, piggybacks, and IV administration, and . . .
    There should be a little flap that can open on the drip chamber If you’re running something that needs to be vented, you just open that little flap 5: No big deal You can invert your drip chamber and push three fluid back into the bag to clear some space
  • Common Hospital IV Drips: Names, Types, and Their Uses
    Normal saline infusion is used for extracellular fluid replacement (e g , dehydration, hypovolemia, hemorrhage, sepsis), treatment of metabolic alkalosis in the presence of fluid loss, and for mild sodium depletion Normal saline can aslo be used as a flush -- to clean out an intravenous (IV) catheter
  • Perioperative Vasopressor Use in Free Flap Surgery: A . . . - PubMed
    Meta-analysis demonstrated that vasopressors were associated with less total flap failure overall (odds ratio, [OR]: 0 71, p = 0 05) and less pedicle thrombosis in head and neck reconstruction specifically (OR: 0 58, p = 0 02)





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