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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.
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 ...
4 dni temu · Frequent assessment of pain should be conducted in the critical care setting using pain scales validated for use in the ICU (including the Behavioural Pain Scale and the Critical Care Pain Observation Tool where patients are not able to self-report). Pain should be considered as a cause of agitation or delirium in patients who are critically ill.
5 wrz 2015 · FloTrac, PiCCO, Swan-Ganz and cardiac ultrasound could be used for septic patients, and the parameters of stroke volume variation (SVV), pulse pressure variation (PPV), cardiac index (CI), and corrected flow time (FTc) could be used to guide fluid therapy during the operation (class II).
The management of perioperative fluid administration is a different entity to fluid management in the setting of a patient presenting acutely unwell, for example with sepsis. This difference is explained by the different processes occurring at the cellular level in the two conditions and the different reasons and goals of fluid therapy.
Fluid therapy to restore and/or maintain tissue perfusion may affect patient outcomes in perioperative, emergency, and intensive care. Kinetic analyses and outcome-oriented studies have provided more insight into fluid management.
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.
