Perioperative fluid management for major elective surgery
نویسندگان
چکیده
منابع مشابه
Perioperative management of patients with diabetes undergoing ambulatory elective surgery.
OBJECTIVE The objective was to assess processes of care for patients with diabetes undergoing elective surgery. METHODS A retrospective review of medical records was conducted to determine frequency of perioperative glucose monitoring, changes in glucose control, and treatment of intraoperative hyperglycemia. RESULTS A total of 268 patients underwent 287 elective procedures. Mean age was 67...
متن کاملIntraoperative Goal-directed Fluid Therapy in Elective Major Abdominal Surgery
Objectives: To compare the effects of intraoperative goal-directed fluid therapy (GDFT) with conventional fluid therapy, and determine whether there was a difference in outcome between studies that did and did not use Enhanced Recovery After Surgery (ERAS) protocols. Methods: Meta-analysis of randomized controlled trials of adult patients undergoing elective major abdominal surgery comparing in...
متن کاملIntraoperative fluid restriction improves outcome after major elective gastrointestinal surgery.
Fluid therapy is one of the most controversial topics in perioperative management. There is continuing debate with regard to the quantity and the type of fluid resuscitation during elective major surgery. However, there are increasing reports of perioperative excessive intravascular volume leading to increased postoperative morbidity and mortality. Recent evidence suggests that judicious periop...
متن کاملPerioperative fluid management strategies in major surgery: a stratified meta-analysis.
BACKGROUND Both "liberal" and "goal-directed" (GD) therapy use a large amount of perioperative fluid, but they appear to have very different effects on perioperative outcomes. We sought to determine whether one fluid management strategy was superior to the others. METHODS We selected randomized controlled trials (RCTs) on the use of GD or restrictive versus liberal fluid therapy (LVR) in majo...
متن کاملPerioperative fluid and electrolyte management in cardiac surgery: a review.
This article can be broken down into three sections. First is a review of extracellular fluid volume management and some of the key physiological principles involved. Second, there is an appraisal of the merits or otherwise of crystalloids and colloids for volume replacement, and finally, a summary of the key points in our appreciation of the behavior of various cations in the perioperative per...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2020
ISSN: 0007-1323,1365-2168
DOI: 10.1002/bjs.11457