To address debates over recommended perioperative fluid management, Nisanevich et al. designed a randomized prospective study to compare liberal versus restricted fluid administration during intraabdominal surgery. The team enrolled 152 patients scheduled to undergo intraabdominal surgery, and randomly assigned half of them (n 75) to receive liberal amounts of lactated Ringer’s solution (bolus ...

BACKGROUND Perioperative mortality after pancreaticoduodenectomy has decreased significantly in high-volume centers, but morbidity remains high. Restrictive perioperative fluid management may contribute to reduced complication rates after various surgical procedures. The aim of this study was to determine whether there is a correlation between the amount of fluid administered and postoperative ...

Background: Postoperative fluid management is vital for preventing perioperative morbidity and mortality in high-complexity advanced ovarian cancer surgery. We investigated the feasibility benefits of restrictive therapy on postoperative recovery. Methods: Patients with who underwent open radical surgery were randomized into or liberal group. The endpoints length hospital stay post-surgery inci...

Although most aspects of perioperative fluid management have remained relatively constant for more than two decades, new concepts and practices are currently evolving. Until the mid-to-late 1960s, the prevailing strategy of perioperative fluid management was rigid restriction (1). After Shires et al. (2,3) convincingly demonstrated that major surgery and trauma were associated with fluid requir...

There is increasing evidence that intraoperative fluid therapy decisions may influence postoperative outcomes. In the past, patients undergoing major surgery were often administered large volumes of crystalloid, based on a presumption of preoperative dehydration and nebulous intraoperative 'third space' fluid loss. However, positive perioperative fluid balance, with postoperative fluid-based we...

Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are consistently associated with morbidity and mortality among the critically ill or injured. Thus, avoiding or potentially treating these conditions may improve patient outcomes. With the aim of improving the outcomes for patients with IAH/ACS, the World Society of the Abdominal Compartment Syndrome recently updated it...

INTRODUCTION The optimal intravenous fluid regimen for patients undergoing major abdominal surgery is unclear. However, results from many small studies suggest a restrictive regimen may lead to better outcomes. A large, definitive clinical trial evaluating perioperative fluid replacement in major abdominal surgery, therefore, is required. METHODS/ANALYSIS We designed a pragmatic, multicentre,...

PURPOSE Angiographic finding including venous drainage pattern should be correlated to the presenting symptom pattern (SxP) in CSDAVF. We present outcome of CSDAVF management and suggest a strategy according to SxP and type of treatment based on our experience. MATERIALS AND METHODS We evaluated SxP, angiographic type (proliferative, restrictive or late restrictive), mode of treatment (emboli...