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2 dni temu · The Perioperative Quality Initiative (POQI) is an international, multidisciplinary nonprofit organisation that aims to establish evidence-based appraisals and generate consensus recommendations for managing patients undergoing surgery to standardise care and direct further research. 10 In 2016, POQI published a framework applicable to the perioperative management of intravenous fluid therapy ...
24 maj 2020 · Perioperative fluid management. The aim of perioperative fluid therapy, in parallel with the maintenance of the effective circulating blood volume, is to avoid both fluid overload and under-hydration, while maintaining patients’ fluid balance as close as possible to zero.
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.
26 kwi 2012 · Perioperative fluid therapy. Intravenous fluid therapy is an important aspect of perioperative care, but doctors often prescribe fluid with limited knowledge of its benefits and risks. This article provides an evidence based summary of current best practice in the prescription of fluid for patients undergoing major non-cardiac surgery.
Clinical assessment of intravascular volume and laboratory investigations are essential to guide perioperative fluid therapy. Thirst, skin turgor, hydration of mucous membranes, core–peripheral temperature gradient, pulse rate and volume, changes in blood pressure in the upright position and urine output are invaluable clues to the state of ...
10 kwi 2015 · Patients should receive fluid therapy guided by predefined physiologic targets. Specifically, fluids should be administered when patients require augmentation of their perfusion and are also volume responsive. This paper provides a general approach to fluid therapy and practical recommendations.
I.V. fluid therapy should be kept at a minimum, and urine output should not be the driving force for fluid administration. The optimization of perioperative fluid management is critical to ERPs as it helps improve pulmonary function, tissue oxygenation, gastrointestinal motility, and wound healing.
