this review provides an overview of the present knowledge on the aspects of preoperative fasting with the assessment of the evidence quality. a systematic research was conducted in electronic databases in order to identify trials published between 1990 and 2014 concerning preoperative fasting, early resumption of oral intake and the effects of oral carbohydrate mixtures on gastric emptying and ...

INTRODUCTION Modern perioperative care principles in elective colorectal surgery have already been established by international surgical authorities. Nevertheless, barriers to the introduction of routine evidence-based clinical care and changing dogmas still exist. One of the factors is the surgeon. AIM To assess perioperative care trends in elective colorectal surgery among general surgery c...

Current evidence-based knowledge, essential basic science and modern clinical practice are explained in 25 focused and authoritative chapters. 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 hy...

BACKGROUND Perioperative antibiotic administration for prophylaxis of surgical site infections can increase the anaesthetists workload. However, timely administration is essential to reduce risks and improve patient outcome. OBJECTIVE This survey evaluates anaesthetists' opinion concerning perioperative antibiotic therapy and training. METHODOLOGY Structured questionnaires relating to the s...

Replacement of assumed preoperative deficits, in addition to generous substitution of an unsubstantiated increased insensible perspiration and third space loss, plays an important role in current perioperative fluid regimens. The consequence is a positive fluid balance and weight gain of up to 10 kg, which may be related to severe complications. Because the intravascular blood volume remains un...

groups were equivalent for age, gender, underlying diagnosis, operative procedure and amount of bolus fluid received (Table 1). The main results are shown in Table 2. We conclude that the change in postoperative fluid regimen from dextrose 3% and sodium chloride 0.3% at two-thirds maintenance rate to dextrose 5% and Hartmann’s at full maintenance rate reduced the proportion of patients with pos...

For decades, the 'third space' was looked upon as an actively consuming compartment. Therefore, perioperative fluid regimens were traditionally based on a generous replacement of this assumed primary loss, in addition to deficits due to insensible perspiration and fasting. The practical consequence was an extremely positive fluid balance in order to maintain blood volume during major surgery. W...