Fluid Volume Monitoring with Glucose Dilution

Decision making regarding fluid volume loading, fluid restriction, or administration of vasoactive drugs may vary among physicians, depending solely upon their clinical experience in the absence of evidence-based measurement. The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit based on both the author's studies and their clinical experience with more than 4000 IDVG determinations. When the concept of IDVG is properly understood and its measurement is then performed routinely, daily fluid and cardiovascular management in critically ill patients can be improved saded on evidence-based measurement
A clinically important misinterpretation of cardiac preload or circulating blood volume could cause serious consequences in critically ill patients.
However, many physicians do not possess a proper knowledge of fluid volume assessment. They are generally not interested in fluid volume assessment, but rather are interested in the underlying pathology and/or cardiac function of their patients. Accordingly, decision making about fluid volume loading, fluid restriction, or administration of vasoactive drugs may vary among physicians, depending solely on their clinical experience in the absence of evidence-based measurement, leading to a significant increase in morbidity as well as length of hospital stay in the critically ill.

Book details:
Author:Hironori Ishihara ,Adolph H. Giesecke
Publisher:Springer-Verlag Tokyo, Inc
Pages:160
Size:2,076 MB
Format: pdf

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