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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 · 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.
Improvements in the management of perioperative fluid therapy enhance patient outcomes, decrease complications, and decrease total LOS. With the goals of maintaining euvolaemia and avoiding salt and water excess, intraoperative GDT utilizes a combination of fluids and inotropes to optimize perfusion during surgery.
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.
4 dni temu · With the increasing use of regional anaesthesia to facilitate recovery and manage postoperative pain, there is a recognition that safe management requires well-trained staff, as well as institutionally agreed and implemented protocols . These protocols may facilitate the assessment of regional blockade, management of failed blockade and ...
An emerging component and a key element for the success of Enhanced Recovery After Surgery (ERAS) protocols has been the concept of goal-directed fluid therapy (GDT). GDT related to ERAS protocols attempts to minimize complications associated with fluid imbalance during surgery.
1 gru 2015 · ‘Enhanced recovery after surgery’ protocols implement a series of peri-operative interventions intended to improve recovery after major operations, one aspect of which is fluid management.
