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2 dni temu · Fluid therapy is an integral component of perioperative management. In light of emerging evidence in this area, the Perioperative Quality Initiative (POQI) convened an international multiprofessional expert meeting to generate evidence-based consensus recommendations for fluid management in patients undergoing surgery. This article provides a summary of the recommendations for perioperative ...
4 dni temu · Pain should be considered as a cause of agitation or delirium in patients who are critically ill. Patients on opioid infusions for ≥ 72 h should be reviewed and monitored for opioid withdrawal. Pain-generating procedures in ICU should have pre-emptive analgesia administered accordingly.
This article reviews the latest evidence on perioperative IV fluid therapy for major surgery, focusing on the type and volume of fluids, and including suitable criteria to guide such therapy.
Patient preparation for perioperative pain management should include appropriate adjustments or continuation of medications to avert an abstinence syndrome, treatment of preexistent pain, or preoperative initiation of therapy for postoperative pain management.
Optimizing fluid therapy in the perioperative setting improves patient outcomes and reduces complications and length of stay (LOS). 1–4 The primary goal of any physician is to optimize patient health to prevent future disease and to treat existing diseases to improve outcomes.
Key points. Thirst plays a crucial role as a sensitive indicator of fluid deficit and fluid balance is rarely a major problem in those patients who are able to drink. Iatrogenic problems are common; a structured approach to fluid management is required. ‘Third-space’ fluid losses must be taken into account in the perioperative period.
9 lut 2024 · Perioperative maintenance of adequate intravascular volume status is important to achieve optimal outcomes after surgery, but there are controversies regarding optimal composition and volume of intraoperative fluid therapy.
