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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. Although a full review of hemodynamic opti-mization using advanced monitoring is beyond the scope of this review, it will be briefly covered as the two topics
fluid balance charts, regular weighing, and biochemical analyses (urea, electrolytes, creatinine, bicarbonate). Intravenous fluid therapy is an important aspect of perioperative care, but doctors often prescribe fluid with limited knowledge of its benefits and risks. This article provides an evidence based summary of current best practice in the
The goals of therapy are to avoid excessive intravascular fluid administration and ECF volume expansion and to correct electrolytes and acid–base status. It is also important to avoid precipitating conditions that would require dialysis during the immediate postoperative period (e.g. hyperkalaemia, pulmonary oedema, and metabolic acidosis).
This review aims to explain the underlying physiology and describe the evidence base and the changes that have been seen in the approach to perioperative fluid therapy. Keywords: Cardiac output, fluid, perioperative, physiology. Go to: Worldwide, there are over 312 million surgical procedures performed annually. [1]
978-1-107-11955-0 - Clinical Fluid Therapy in the Perioperative Setting: Second Edition Edited by Robert G. Hahn Frontmatter More information
The scattered scientific basis for perioperative fluid therapy has necessitated the develop- ment of experience-based “rules of thumb,” which still play an enormously important role in daily practice.
