Goal-Directed Fluid Therapy
Intra-operative fluid therapy is one of the most discussed and debated therapies in recent years as a result of a difficult assessment of the volume status and of the risks associated with a liberal attitude towards volume replacement.
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Practical Trends in Anesthesia and Intensive Care 2019
Davide Chiumello Editor
Practical Trends in Anesthesia and Intensive Care 2019
Editor Davide Chiumello San Paolo Hospital, Intensive Therapy Department University of Milan Milan Italy
ISBN 978-3-030-43872-2 ISBN 978-3-030-43873-9 (eBook) https://doi.org/10.1007/978-3-030-43873-9 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Contents
1 The Role of the Heart in Weaning Failure���������������������������������������������� 1 Fabio Guarracino and Giulia Brizzi 1.1 Weaning as an Intense Exercise���������������������������������������������������������� 2 1.2 The Diagnosis of Weaning Failure of Cardiovascular Origin������������ 3 1.3 Transthoracic Echocardiography�������������������������������������������������������� 4 1.4 Conclusions���������������������������������������������������������������������������������������� 8 References���������������������������������������������������������������������������������������������������� 8 2 MDR Infections in the ICU ���������������������������������������������������������������������� 11 Enrico Tagliaferri, Francesco Menichetti, and Gianni Biancofiore 2.1 Infections and Resistance: The Problem Dimension�������������������������� 11 2.2 Infections and Resistance: Definitions������������������������������������������������ 13 2.3 MDR Gram Positive���������������������������������������������������������������������������� 13 2.3.1 MRSA ������������������������������������������������������������������������������������ 14 2.3.2 Potential Role for the New Antibiotics ���������������
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