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EVALUATION BY PULMONAR ULTRASOUND OF CONVENTIONAL ANESTHETIC FLUID THERAPY ON ELECTIVE NON-CARDIAC SURGERY
Author(s): ,
Urias Romo de Vivar, E.G.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Perioperative medicine, Culiacán, Mexico
,
Ortega Salas, J.
Affiliations:
Hospital General de Culiacán, Critical Care, culiacan, Mexico
,
Bueno Cortés, B.A.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Investigation Department, Culiacán, Mexico
,
Muñoz Solano, J.A.
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Investigation Department, Culiacán, Mexico
Lugo Rodriguez, J.*
Affiliations:
Centro de Investigación y docencia en ciencias de la salud, Anesthesiology, Culiacán, Mexico
ESRA Academy. Urias E. Sep 13, 2017; 190788
Topic: Miscellaneous Complications/ Medicolegal
Dr. Emma Urias
Dr. Emma Urias
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Abstract
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Background and Aims:

INTRODUCTION. perioperative fluid therapy is one of the most important tasks of anesthesiologists currently conventional or liberal handling is extremely excessive, ultrasound is a reliable option as part of monitoring.OBJECTIVES. : To evaluate pulmonary artifacts observed by ultrasonography in patients undergoing elective surgery under general anesthesia with conventional fluid replacement.

Methods:

METHODS. observational, prospective, longitudinal study of 38 patients undergoing elective surgery in the period from March 1 to August 1, 2016 in the Civil Hospital of Culiacan included.

Anesthetic Risk (ASA)FrequencyPorcentage
I1436.8
II2052.6
III410.5
Total38100


Comborbidities Frequency Porcentage (%)
Asthma 4 10.5
Dyslipidemia 3 7.8
Mellitus Diabetes 3 7.8
Arterial Hypertension 5 13
Hipothyroidism 1 2.6
Obesity Grade II 3 7.8
None 24 63.2
Total 38 100
Results:

RESULTS. : in 100% of patients lines B were observed in 57.9% (22) 3 or more lines were observed in any quadrant of the anterior chest clinically relevant, in patients who were classified as ASA III 75% present B lines of 3 or more.

Conclusions:

CONCLUSIONS. : it was determined that fluid replacement calculations we do so liberal, are exaggerated ultrasound as a noninvasive monitoring in surgical patients will help us guide an adequate replacement.

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