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Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

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Updated: Jul 5, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Published on: July 28, 2018

[Perioperative fluid therapy--what new?].

Kathrine Holte¹, Henrik Kehlet

¹Hvidovre Hospital, Kirurgisk Gastroenterologisk Afdeling. kathrine.holte@dadlnet.dk

Ugeskrift for Laeger

|April 25, 2008

Summary

Perioperative fluid management shows wide variability. Both fluid overload and hypovolemia negatively impact patient outcomes, suggesting individualized fluid therapy is crucial for high-risk surgical patients.

Area of Science:

Anesthesiology
Surgical Patient Management
Critical Care Medicine

Context:

Perioperative fluid management lacks standardized evidence-based guidelines.
Current fluid administration practices exhibit significant variability.
The clinical implications of this variability on patient outcomes remain largely unknown.

Purpose:

To evaluate the impact of perioperative fluid management variability on patient outcomes.
To determine the effects of fluid overload and hypovolemia in the perioperative period.
To provide recommendations for optimizing fluid therapy in high-risk surgical patients.

Summary:

Data suggest that both fluid overload and hypovolemia are equally detrimental to patient outcomes.
Individualized fluid therapy is recommended for high-risk patients undergoing major elective surgery.

Related Experiment Videos

Last Updated: Jul 5, 2026

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Published on: July 28, 2018

Future research should focus on procedure-specific, standardized perioperative protocols, emphasizing the postoperative phase.

Impact:

Highlights the critical need for evidence-based guidelines in perioperative fluid management.
Underscores the potential harm of suboptimal fluid administration.
Informs the development of tailored fluid strategies to improve surgical patient safety and recovery.