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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 authors' 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 based on evidence-based measurement.
List of contents
Principle of Dilution Volumetry.- Early Studies of Glucose Space.- Models of Glucose Distribution and Utilization.- Glucose Dilution in Practice.- IDVG and Extracellular Fluid Volume.- IDVG and Cardiac Output.- IDVG and Plasma Volume.- IDVG and Overestimation of ICG-Derived Plasma Volume.- IDVG and Redistribution of Fluid.- IDVG and Thoracic Fluid Volume.- Indirect Measurement of Red Cell Volume.- IDVG and Prediction of Hypovolemic Hypotension.- Case Presentation.- Current Cardiac Preload Assessment.
Summary
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 authors’ 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 based on evidence-based measurement.
Additional text
From the reviews:
"The book reviews the authors’ nearly 20 year effort of measuring fluid compartments in various disease states. The authors validate dynamic ‘dilution volumetry’ in measuring intravascular and extracellular fluid compartments in normal and critically ill patients. … Their assertion is just extreme enough to motivate the reader to explore these determinations in their own surgical or critically ill patients. … The authors should be applauded for their persistent, sequential analysis of the data and the application to patient management." (Loren A. Bauman, Anesthesia and Analgesia, Vol. 104 (4), 2007)
Report
From the reviews:
"The book reviews the authors' nearly 20 year effort of measuring fluid compartments in various disease states. The authors validate dynamic 'dilution volumetry' in measuring intravascular and extracellular fluid compartments in normal and critically ill patients. ... Their assertion is just extreme enough to motivate the reader to explore these determinations in their own surgical or critically ill patients. ... The authors should be applauded for their persistent, sequential analysis of the data and the application to patient management." (Loren A. Bauman, Anesthesia and Analgesia, Vol. 104 (4), 2007)
