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1 dzień temu · Fluid therapy is an integral component of perioperative management. In light of emerging evidence in this area, the Perioperative Quality Initiative (POQI) convened an international multiprofessional expert meeting to generate evidence-based consensus recommendations for fluid management in patients undergoing surgery. This article provides a summary of the recommendations for perioperative ...
3 dni temu · Pain should be considered as a cause of agitation or delirium in patients who are critically ill. Patients on opioid infusions for ≥ 72 h should be reviewed and monitored for opioid withdrawal. Pain-generating procedures in ICU should have pre-emptive analgesia administered accordingly.
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.
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.
20 sty 2021 · In order to aid decision making on fluid management, it is important that perioperative practitioners have an understanding of intravenous fluid, fluid compartmentalisation, fluid mechanics and intravascular fluid control mechanisms.
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.
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.
