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15 An important facilitator of program scale-up has been the implementation of various surgical efficiencies outlined for consideration in WHO-guidance related to models for optimizing volume and efficiency.
16 The models for optimizing volume and efficiency include a set of innovative service delivery strategies for improving human resource efficiency, such as task shifting, task sharing, adjustment of the ratio of physicians/primary providers to nurses, optimizing facility space through rotation among multiple surgical bays, use of electrocautery, and use of the forceps-guided surgical method.
In this article we propose a model for optimizing volume administration based on the microcirculation.
More advanced techniques for bedside assessment of volume status may be indicated for optimizing volume status in patients with SAH.
A fundamental principle behind optimizing volume restoration and contouring is to treat all levels of the facial envelope beginning with the establishment of deep structural support.
Thus, a prompt intervention in the postoperative management in the ICU, especially avoiding additional renal insults and optimizing volume status, may help to some extent to prevent a higher progression of perioperative AKI, and the occurrence of the worst outcomes, including in-hospital mortality, is associated with the worst RIFLE class.
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The most interesting aspect of the product is its ability to reduce and optimize volume.
We observed drift in image position, astigmatism, and focus changes, so these artifacts still represent challenges that need to be addressed to optimize volume quality.
To optimize volume therapy during induced whole-body hyperthermia (WBH) ≤ 42.2°C, pulmonary capillary wedge pressure (PCWP) and intrathoracic blood volume index (ITBVI) were compared as goal parameters.
The goals for EGDT were to optimize volume status by maximizing stroke volume with fluid challenges and then to increase the oxygen delivery index (DO2I) to 600 ml/min/m2 with dopexamine if required.
Second-generation algorithms aimed for optimizing stroke volume only when found low in the presence of clinical signs of hypoperfusion, including stop signals preventing volume overload, and incorporating also protocol pathways to a rational use of vasoactive drugs [ 24, 25].
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