General principles

All patients who have undergone cardiopulmonary bypass have significant shifts in their overall total body water. Cardiopulmonary bypass provides for significant dilution of the blood volume secondary to the crystalloid prime used to prime the pump. Cardiopulmonary bypass causes a significant increase in capillary permeability. These changes occur because of activation of the complement system, release of histamine from mast cells, release of serotonin from platelets, release of lysosomal enzymes from granulocytes and because of activation of the kinins. The overall result of these changes is marked increase in interstitial fluid. Following cardiopulmonary bypass patients can have an increase in the interstitial fluid volume of up to 150 cc/kg of body weight. One may safely assume that all patients who have undergone cardiopulmonary bypass have a significant interstitial fluid load which must be relieved in the first few postoperative days.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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