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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 · 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.
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
Perioperative fluid management is a key component in the care of the surgical patient. It is an area that has seen significant changes and developments, however there remains a wide disparity in practice between clinicians.
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.
Clinical assessment of intravascular volume and laboratory investigations are essential to guide perioperative fluid therapy. Thirst, skin turgor, hydration of mucous membranes, core–peripheral temperature gradient, pulse rate and volume, changes in blood pressure in the upright position and urine output are invaluable clues to the state of ...
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.
