FLUID BALANCE AND WEIGHT CHANGE AFTER OPEN HEART SURGERY

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AZAR FARIN R.; BILEHJANI I.; FARASAT KISH R.; HEIDARPOUR A.; MOLA SADEGHI ROKABADI GH.A.

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2003 | Volume:22 | Issue:40 Page(s): 24-32

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Title

FLUID BALANCE AND WEIGHT CHANGE AFTER OPEN HEART SURGERY

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Keywords

FLUID BALANCEQ4

CARDIAC SURGERYQ3

CARDIOPULMONARY BYPASSQ4

POSTOPERATIVE PERIODQ4

Abstract

During CARDIAC SURGERY and CARDIOPULMONARY BYPASS (CPB) significant shift of body water and electrolytes occurs. Considering these changes has important role in appropriate management of these patients and prevention of homodynamic, respiratory, renal complications and coagulopathy. Body water distribution can be evaluated by repeated measurements of body weight and FLUID BALANCE. In this study FLUID BALANCE status and pattern of its changes in POSTOPERATIVE PERIOD were evaluated.Sixty patients underwent coronary artery bypass graft surgery (CABG) (n=42) and valve replacement surgery (n=18) with CPB. Anesthesia technique and priming method of CPB in all patients were the same.The patients had positive FLUID BALANCE at first (310± 108 ml) and second (5 ±117 ml) postoperative days, but FLUID BALANCE in the second day was significantly lower than the first day (p=0.001). FLUID BALANCE at first and second postoperative days and total postoperative FLUID BALANCE and weight gain were not different between CABG and valve surgery patients (p>0.05). Patients have significantly more weight gain (2.43± 0.39 kg) than FLUID BALANCE (total) (179 ±172 ml) during discharging from ICU.Despite of the common method of fluid and salt restriction in POSTOPERATIVE PERIOD, there is a positive FLUID BALANCE at first postoperative day. This positive balance is minimal in the second day. Despite of small positive FLUID BALANCE (total) in POSTOPERATIVE PERIOD, patients have considerable weight gain during discharge from ICU, which means persistence of intraoperative fluid overload in patients.

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APA: Copy

AZAR FARIN, R., BILEHJANI, I., FARASAT KISH, R., HEIDARPOUR, A., & MOLA SADEGHI ROKABADI, GH.A.. (2003). FLUID BALANCE AND WEIGHT CHANGE AFTER OPEN HEART SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 22(40), 24-32. SID. https://sid.ir/paper/63223/en

Vancouver: Copy

AZAR FARIN R., BILEHJANI I., FARASAT KISH R., HEIDARPOUR A., MOLA SADEGHI ROKABADI GH.A.. FLUID BALANCE AND WEIGHT CHANGE AFTER OPEN HEART SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2003;22(40):24-32. Available from: https://sid.ir/paper/63223/en

IEEE: Copy

R. AZAR FARIN, I. BILEHJANI, R. FARASAT KISH, A. HEIDARPOUR, and GH.A. MOLA SADEGHI ROKABADI, “FLUID BALANCE AND WEIGHT CHANGE AFTER OPEN HEART SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 22, no. 40, pp. 24–32, 2003, [Online]. Available: https://sid.ir/paper/63223/en

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