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Fluid Management in Lung Transplant Patients.

Abstract Overall, there is a lack of randomized controlled trials examining the correlation between fluid volume delivery and outcomes in postoperative lung transplant patients. However, using thoracic surgery patients as a guide, the evidence suggests that hypervolemia correlates with pulmonary edema and should be avoided in lung transplant patients. However, it is recognized that patients with hemodynamic instability may require volume for attenuation of this situation, but it can likely be mitigated with the use of inotropic medication to maintain adequate perfusion and avoid the development of edema.
PMID
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Authors

Mayor MeshTerms

Hemodynamics

Hydrodynamics

Keywords

Hypervolemia

Lung transplant

Primary graft dysfunction

Pulmonary edema

Journal Title the nursing clinics of north america
Publication Year Start




PMID- 28478878
OWN - NLM
STAT- MEDLINE
DA  - 20170508
DCOM- 20170515
LR  - 20170515
IS  - 1558-1357 (Electronic)
IS  - 0029-6465 (Linking)
VI  - 52
IP  - 2
DP  - 2017 Jun
TI  - Fluid Management in Lung Transplant Patients.
PG  - 301-308
LID - S0029-6465(17)30018-X [pii]
LID - 10.1016/j.cnur.2017.01.007 [doi]
AB  - Overall, there is a lack of randomized controlled trials examining the
      correlation between fluid volume delivery and outcomes in postoperative lung
      transplant patients. However, using thoracic surgery patients as a guide, the
      evidence suggests that hypervolemia correlates with pulmonary edema and should be
      avoided in lung transplant patients. However, it is recognized that patients with
      hemodynamic instability may require volume for attenuation of this situation, but
      it can likely be mitigated with the use of inotropic medication to maintain
      adequate perfusion and avoid the development of edema.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Schultze, Benjamin Stuart
AU  - Schultze BS
AD  - Oregon Health & Science University, School of Nursing, Adult-Gerontlogy Acute
      Care Nurse Practitioner Program, 3455 S.W U.S. Veterans Hospital Road, Portland, 
      OR 97239, USA. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Nurs Clin North Am
JT  - The Nursing clinics of North America
JID - 0042033
SB  - AIM
SB  - IM
SB  - N
MH  - *Hemodynamics
MH  - Humans
MH  - *Hydrodynamics
MH  - Hypovolemia/*therapy
MH  - Lung Transplantation/*adverse effects/*methods
MH  - Postoperative Complications/*etiology/*therapy
OTO - NOTNLM
OT  - Hypervolemia
OT  - Lung transplant
OT  - Primary graft dysfunction
OT  - Pulmonary edema
EDAT- 2017/05/10 06:00
MHDA- 2017/05/16 06:00
CRDT- 2017/05/09 06:00
AID - S0029-6465(17)30018-X [pii]
AID - 10.1016/j.cnur.2017.01.007 [doi]
PST - ppublish
SO  - Nurs Clin North Am. 2017 Jun;52(2):301-308. doi: 10.1016/j.cnur.2017.01.007.

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