‘ROSE concept’ of fluid management: Relevance in neuroanaesthesia and neurocritical care

Monteiro, Joseph; Goraksha, Shwetal

doi:10.4103/2348-0548.197435

Cited by 5 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The goal is to maintain tissue perfusion, integrity, and function while restoring intravascular volume to maximize hemodynamic parameters. (12). It is matched with Malbrain's statement that also recommend the ROSE concept of fluid balance therapy, which shows the relationship between positive fluid balance and overload fluid in critically ill patients (13).…”

Section: Discussionmentioning

confidence: 77%

Perioperative Management of Marfan Syndrome in Pregnancy and Congestive Heart Failure

Koeshardiandi,

Mudianto,

Himawan

et al. 2024

IJAR

View full text Add to dashboard Cite

Introduction: A mutation in fibrillin-1 (FBN1) leads to the autosomal dominant condition known as Marfan Syndrome (MFS). The condition of pregnancy with MFS may increase morbidity and mortality during pregnancy and delivery. Due to a greater frequency of maternal problems and fetal involvement, pregnancy with Marfan syndrome (MFS) provides challenges to healthcare professionals and patients and requires special treatment. Objective: This study aimed to analyze the perioperative management of Marfan syndrome in pregnancy and congestive heart failure (CHF). Case report: A 27-year-old primigravida with 38-39 weeks gestation presented with a referral letter with a diagnosis of G1P0A0 with scoliosis and peripartum cardiomyopathy. The patient complained of shortness of breath accompanied by cold sweat since the second trimester of gestation. Physical examination revealed the presence of arachnodactyly and spine deformity. The patient underwent an emergency cesarean section with general anesthesia. Breathing problem appeared the next day after cesarean section, the patient was intubated in the ICU. Chest X-ray depicted bilateral pulmonary edema. A mechanical ventilator was set up and fluid restriction had been done. The patient was extubated after showing breathing improvement in the second week in the ICU. Discussion: The diagnosis of MFS in this patient was defined based on the revised Ghent Nosology. MFS with spine deformity causes breathing problems because of the altered geometry of the thoracic cavity. MFS in pregnancy may worsen the breathing problem due to autotransfusion that leads to pulmonary edema. A mechanical ventilator with a specific setting accompanied by fluid restriction is recommended to reduce the fluid overload in the lungs. Conclusion: Mechanical ventilators with specific settings and fluid restriction are effective perioperative management to reduce pulmonary edema on MFS in pregnancy and congestive heart failure.

show abstract

Section: Discussionmentioning

confidence: 77%

Perioperative Management of Marfan Syndrome in Pregnancy and Congestive Heart Failure

Koeshardiandi,

Mudianto,

Himawan

et al. 2024

IJAR

View full text Add to dashboard Cite

show abstract

“…Albumin can be used as a volume expander and an alternative to avoid unnecessary fluid administration in cardiac surgery. [7][8][9][10][11][12] Cost efficiency is the main reason why protein colloids such as albumin 4-5% are not used as first-line fluid therapy. The effectivity in giving protein colloid post-cardiac surgery is well-established, although it is still not given in the first-line fluid therapy.…”

Section: Discussionmentioning

confidence: 99%

Comparison of albumin 4%, gelatine, and ringer lactate as volume expander post-resuscitative phase on cardiac output and lactate serum after Coronary Arterial Bypass Grafting (CABG) on-pump: Single-center randomized prospective study

Adriane

Dewi

Ardiyan

2022

Intisari Sains Medis

View full text Add to dashboard Cite

Background. The use of protein colloid in fluid management post-cardiac surgery is debatable whether it is more beneficial than non-protein colloid or crystalloid. Patients who still need more volume after the resuscitative phase might benefit from optimal fluid management by choosing the most beneficial fluid. This study compared albumin 4% administration to gelatine and ringer lactate as a volume expanders post-resuscitative phase after coronary artery bypass grafting (CABG) on-pump.Methods. We conducted a single-centered, single-blind, randomized controlled study that assigned 120 patients undergoing elective CABG on-pump. Subjects who met inclusion criteria received 125 ml/hour of either albumin 4%, gelatine colloid, or Ringer's lactate (RL) as the only infusion fluid for 4 hours after the first assessment post-resuscitative phase, after intensive care unit (ICU) admission. After fluid administration, patients were reassessed. The assessment included cardiac output and lactate serum as the primary outcome, while the duration of mechanical ventilation, ICU, and hospital stay were recorded as secondary outcomes.Results. The mean of cumulative cardiac output improvement differed between the group albumin 4% 1.18 L/min, gelatine 0.88, and RL 0.74 (p=0.002). Lactate serum decreased in the albumin 4% group as much as 3.31 gr/dl compared to gelatine 2.13 and RL group 2.37 (p=0.005). Duration of mechanical ventilation, length of stay in ICU, and hospital post-operative were shorter in the albumin group than in other groups. Conclusions. Albumin 4% used as a volume expander in the post-resuscitative phase still improved cardiac output and tissue micro-perfusion than gelatine and ringer lactate.

show abstract

“…The World Federation of Societies of Intensive and Critical Care Medicine Task Force suggested that healthcare practitioners should prioritize giving patients and families a voice in decision-making and patient-centered care.This method involves managing mental health disorders in critically ill individuals with the right use of medications. Fluid management is a concept that Monteiro and Goraksha (2017) presented, and it is relevant to neurocritical care for patients with mental health issues. The idea emphasized the significance of individualized fluid management, taking into account elements including hemodynamics, brain edema, and electrolyte imbalances.…”

Section: Literature Reviewmentioning

confidence: 99%

Emerging principles in neurocritical care: An analytical study of pharmaceuticals for mental health disorders

2023

pne

View full text Add to dashboard Cite

In India, neurocritical care drugs are a promising choice for treating mental health conditions. Understanding the neurochemical imbalances that take place in diverse mental diseases forms the foundation for the concepts guiding the administration of these medications. One of the guiding concepts is the use of SSRIs (selective serotonin reuptake inhibitors) in the management of anxiety and depressive disorders. Serotonin availability in the brain is increased by SSRIs, which may decrease the symptoms of various diseases. Atypical antipsychotics being used to treat schizophrenia and other psychotic diseases is another crucial idea. The brain's dopamine receptors are blocked by these medications, which can lessen the severity of psychotic symptoms. Additionally, the use of mood stabilizers for the treatment of bipolar disorder is gaining popularity. These medications support the management of mood fluctuations and the avoidance of manic or depressive periods. The growing ideas in neurocritical care medicines for mental health disorders in India generally stress the significance of focusing on certain neurochemical imbalances to address mental illnesses.

show abstract

‘ROSE concept’ of fluid management: Relevance in neuroanaesthesia and neurocritical care

Cited by 5 publications

References 20 publications

Perioperative Management of Marfan Syndrome in Pregnancy and Congestive Heart Failure

Perioperative Management of Marfan Syndrome in Pregnancy and Congestive Heart Failure

Comparison of albumin 4%, gelatine, and ringer lactate as volume expander post-resuscitative phase on cardiac output and lactate serum after Coronary Arterial Bypass Grafting (CABG) on-pump: Single-center randomized prospective study

Emerging principles in neurocritical care: An analytical study of pharmaceuticals for mental health disorders

Contact Info

Product

Resources

About