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22 paź 2023 · Weight gain may indicate fluid excess, whereas weight loss can signify fluid deficits. Examining the patient's records from recent outpatient visits before hospitalization can provide valuable information regarding the patient's typical baseline weight.
24 maj 2020 · 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.
Perioperative weight gain, being the most reliable marker of fluid storage outside the circulatory space, has been shown to be strongly related to patient mortality in a retrospective study of patients not randomly assigned to distinct fluid infusion regimens: In patients who gained less than 10% body weight, mortality was 10%; in patients ...
16 kwi 2016 · During major abdominal surgery a “zero-balance” intraoperative fluid strategy aims at avoiding fluid overload (and comparable to the so-called restrictive approach) as well as goal-directed fluid therapy (GDT).
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. Although a full review of hemodynamic optimization using advanced monitoring is beyond the scope of this review, it will be briefly covered as the two ...
1 gru 2015 · In contrast to ‘restrictive’ fluid therapy, which implies deliberate hypovolaemia 20, the aim is ‘zero-balance’ fluid management, with the goals of avoiding fluid excess and maintaining pre-operative hydration and weight 21.
1 paź 2021 · In well patients preoperatively, oral intake should be promoted with clear fluids up to 2 hours before surgery, bowel preparation avoided and, if prolonged fasting without oral intake is anticipated, adequate IV fluid therapy to maintain euvolaemia and normal electrolytes.
