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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 ...
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.
20 wrz 2021 · Low-dose IV ketamine, midazolam, IV lidocaine or combined with salbutamol are recommended to be used as premedication before induction. Propofol, ketamine, halothane, isoflurane and sevoflurane are best induction agents and maintenance for asthmatic surgical patients respectively.
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.
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.
24 maj 2020 · Different indications need different types of fluids, e.g., resuscitation fluids should focus on rapid restoration of circulating volume; replacement fluids must mimic the fluid that has been lost; maintenance fluids must deliver basic electrolytes and glucose for metabolic needs.
9 lut 2024 · Perioperative maintenance of adequate intravascular volume status is important to achieve optimal outcomes after surgery, but there are controversies regarding optimal composition and volume of intraoperative fluid therapy.
