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1 dzień 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 ...
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.
3 dni temu · Prehabilitation includes screening for risk factors for severe acute pain and chronic post-surgical pain , and applying the following key non-pharmacological interventions, namely the use of empathic communication skills to improve the patient's knowledge of surgery (procedural instruction) ; setting realistic expectations for postoperative ...
16 kwi 2016 · The goal of perioperative intravenous fluid therapy is to maintain or restore circulation with an adequate fluid and electrolyte balance, thereby creating the preconditions for a favorable outcome for the patient.
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.
In summary, fluid therapy remains a contentious area of perioperative medicine, with differing approaches seen. It is vital that patients receive fluids targeted to their individual physiology. When a fluid challenge is given it should be an effective challenge of the patient's physiology.
Perioperative fluid management impacts outcomes and plays a pivotal role in enhanced recovery pathways (ERPs). There have been major advances in understanding the effects of fluid therapy and administration during the perioperative period.
