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2 dni 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 ...
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.
4 maj 2022 · Each chapter guides the reader in the use of fluid therapy in all aspects of peri-operative patient care. Guidance is given on the correct selection, quantity and composition of fluids required as a consequence of the underlying pathology and state of hydration of the patient, and the type and duration of surgery.
Download PDF. Key points. Thirst plays a crucial role as a sensitive indicator of fluid deficit and fluid balance is rarely a major problem in those patients who are able to drink. Iatrogenic problems are common; a structured approach to fluid management is required. ‘Third-space’ fluid losses must be taken into account in the perioperative period.
Download PDF. Share. Abstract. 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.
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.
Perioperative fluid management is a key element for the success of ERAS protocols. The use of goal-directed fluid therapy (GDT) is steadily gaining popularity for the appropriate perioperative fluid/volume management. [4] .
