Journal article

Comparison of the Hemodynamic and Temperature Effects of a 500-mL Bolus of 4% Albumin at Room Versus Body Temperature in Cardiac Surgery Patients

Fumitaka Yanase, Laurent Bitker, Luca Lucchetta, Thummaporn Naorungroj, Salvatore L Cutuli, Eduardo A Osawa, Emmanuel Canet, Anthony Wilson, Glenn M Eastwood, Michael Bailey, Rinaldo Bellomo

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | W B SAUNDERS CO-ELSEVIER INC | Published : 2021

Abstract

OBJECTIVE: To compare the hemodynamic effect of room temperature (cold) 4% albumin fluid bolus therapy (FBT) with body temperature (warm) albumin FBT. DESIGN: Prospective, before-after trial. SETTING: A tertiary intensive care unit (ICU). PARTICIPANTS: Sixty ventilated, post-cardiac surgery patients prescribed with 4% albumin FBT. INTERVENTION: Cold or warm 4% albumin 500 ml FBT. MEASUREMENTS AND MAIN RESULTS: We recorded hemodynamic parameters before and for 30 minutes after FBT. Cardiac index (CI) and mean arterial pressure (MAP) responses were defined by a CI increase >15% and a MAP increase >10%, respectively. Immediately after FBT, median [interquartile range] core temperature changed b..

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University of Melbourne Researchers