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On day 3, cannulation and adjustment of fluid therapy by the PiCCO system (Pulsion Medical Systems AG, Munich, Germany) were performed, as described previously [10, 24].
An intelligent well completion is a system equipped with sensors and special valves installed on the production tubing, which provides the operator with continuous monitoring and adjustment of fluid flow rates and pressures, as displayed in Fig. 1.
No adjustment of fluid infusion or mechanical ventilation was allowed during this first study period (namely between T0 and T1).
Under optimum conditions, there is a clear treatment algorithm that includes cardiac evaluation such as adjustment of fluid balance, hemoglobin, and saturation.
In addition to baseline echocardiographic and vascular examinations, they were assessed via meticulous physical examinations and chest X-ray and/or echocardiography for adjustment of fluid status during the follow-up period.
MacHek et al. showed that the adjustment of fluid status guided by BIA led to significant reductions in systolic BP and antihypertensive medications in overhydrated HD patients and prevention of adverse events in underhydrated ones [ 51].
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Hemofiltration coupled with ECMO allows adjustment of fluid-electrolyte balance and caloric intake [45].
Hemofiltration coupled with ECMO allows adjustment of fluid-electrolyte balance and caloric intake [ 45].
Early NGAL-guided adjustments of fluid management might reduce organ edema and potentially improve patient outcomes after cardiac surgery.
As in the hydrodynamic case, jets and free shear layers can appear to accommodate the adjustment of the fluid rotation rate between these various regions.
Even after adjustment for fluid accumulation, transient decreases of plasma NGAL but not serum creatinine at 0 to 4 h after the surgery was observed in the CKDAKI group.
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