Guyton’s hemodynamic mosaic: crafting fluid management with precision

Abstract Sheldon Magder’s article on applying Arthur Guyton’s principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP...

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Main Authors: Rogerio Da Hora Passos, Luciano Ribeiro Pereira Silva, Leonardo Van De Wiel Barros Urbano Andari, Uri Adrian Prync Flato, Murillo Santucci Cesar Assunção, Thiago Domingos Corrêa
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:Annals of Intensive Care
Online Access:https://doi.org/10.1186/s13613-024-01416-w
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author Rogerio Da Hora Passos
Luciano Ribeiro Pereira Silva
Leonardo Van De Wiel Barros Urbano Andari
Uri Adrian Prync Flato
Murillo Santucci Cesar Assunção
Thiago Domingos Corrêa
author_facet Rogerio Da Hora Passos
Luciano Ribeiro Pereira Silva
Leonardo Van De Wiel Barros Urbano Andari
Uri Adrian Prync Flato
Murillo Santucci Cesar Assunção
Thiago Domingos Corrêa
author_sort Rogerio Da Hora Passos
collection DOAJ
description Abstract Sheldon Magder’s article on applying Arthur Guyton’s principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP’s variable accuracy and the oversimplification of cardiovascular dynamics. Integrating RAP with dynamic assessments and bedside ultrasound can enhance fluid management strategies. Future research should aim to improve RAP’s predictive accuracy and validate its clinical utility for individualized patient care.
format Article
id doaj-art-58357a77cb5845d6b75f647cfe76a6f2
institution Kabale University
issn 2110-5820
language English
publishDate 2025-01-01
publisher SpringerOpen
record_format Article
series Annals of Intensive Care
spelling doaj-art-58357a77cb5845d6b75f647cfe76a6f22025-01-05T12:46:00ZengSpringerOpenAnnals of Intensive Care2110-58202025-01-011511210.1186/s13613-024-01416-wGuyton’s hemodynamic mosaic: crafting fluid management with precisionRogerio Da Hora Passos0Luciano Ribeiro Pereira Silva1Leonardo Van De Wiel Barros Urbano Andari2Uri Adrian Prync Flato3Murillo Santucci Cesar Assunção4Thiago Domingos Corrêa5Intensive Care Department, Hospital Israelita Albert EinsteinIntensive Care Department, Hospital Israelita Albert EinsteinIntensive Care Department, Hospital Israelita Albert EinsteinIntensive Care Department, Hospital Israelita Albert EinsteinIntensive Care Department, Hospital Israelita Albert EinsteinIntensive Care Department, Hospital Israelita Albert EinsteinAbstract Sheldon Magder’s article on applying Arthur Guyton’s principles to clinical fluid management provides valuable insights into optimizing hemodynamics in critically ill patients. While emphasizing the role of right atrial pressure (RAP) in assessing cardiac output, challenges arise due to RAP’s variable accuracy and the oversimplification of cardiovascular dynamics. Integrating RAP with dynamic assessments and bedside ultrasound can enhance fluid management strategies. Future research should aim to improve RAP’s predictive accuracy and validate its clinical utility for individualized patient care.https://doi.org/10.1186/s13613-024-01416-w
spellingShingle Rogerio Da Hora Passos
Luciano Ribeiro Pereira Silva
Leonardo Van De Wiel Barros Urbano Andari
Uri Adrian Prync Flato
Murillo Santucci Cesar Assunção
Thiago Domingos Corrêa
Guyton’s hemodynamic mosaic: crafting fluid management with precision
Annals of Intensive Care
title Guyton’s hemodynamic mosaic: crafting fluid management with precision
title_full Guyton’s hemodynamic mosaic: crafting fluid management with precision
title_fullStr Guyton’s hemodynamic mosaic: crafting fluid management with precision
title_full_unstemmed Guyton’s hemodynamic mosaic: crafting fluid management with precision
title_short Guyton’s hemodynamic mosaic: crafting fluid management with precision
title_sort guyton s hemodynamic mosaic crafting fluid management with precision
url https://doi.org/10.1186/s13613-024-01416-w
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