Measurement of peripheral tissue thickness by ultrasound during the perioperative period

被引:8
作者
Schumacher, J
Engelke, A
Wagner, KF
Eichler, W
Markert, U
Klotz, KF
机构
[1] Med Univ Luebeck, Dept Anaesthesiol, D-23538 Luebeck, Germany
[2] Med Univ Luebeck, Dept Surg, D-23538 Luebeck, Germany
关键词
measurement techniques; tissue thickness; monitoring; ultrasound; fluid balance; fluids; i.v;
D O I
10.1093/bja/82.4.641
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have studied changes in peripheral tissue thickness with a novel hand-held ultrasound device during the perioperative course of 60 healthy surgical patients in three different intraoperative body positions. The nit-by-mouth period led to a significant decrease in forehead tissue thickness. Standardized infusion therapy with Ringer's solution at a rate of 8 ml kg(-1) h(-1) resulted in a gradual increase in tissue thickness, which was significantly different from preoperative baseline values after 90 min. Packed cell volume decreased significantly after the start of infusion and remained low over the rest of the observation time. Different body positions did not influence changes in tissue thickness. We conclude that changes in perioperative tissue thickness in healthy patients can be detected easily by ultrasound, independent of body position. This method may prove useful for the non-invasive assessment of fluid balance state.
引用
收藏
页码:641 / 643
页数:3
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