Goal-directed Perioperative Fluid Management
نویسندگان
چکیده
منابع مشابه
Impact of goal-directed perioperative fluid management in high-risk surgical procedures: a literature review.
Guidelines for the perioperative administration of fluid are often based on static hemodynamic targets such as central venous pressure, and delayed volume status indexes such as blood pressure, heart rate, capillary refill, and urine output. Traditional fluid management protocols also rely heavily on algorithmic estimates of fluid deficit, intravascular fluid volume status, fluid loss, and basa...
متن کاملPerioperative Goal-Directed Therapy Some Remaining Questions
Perioperative mortality of patients undergoing high-risk surgery has been steadily declining over recent years. And yet this reduced mortality rate is still considered to be higher than anticipated (Pearse et al. 2012). Newer approaches aimed at improving perioperative outcome and reducing its associated costs have been recently proposed. These include fast-track surgery (Kehlet and Wilmore 200...
متن کاملGoal-directed therapy in intraoperative fluid and hemodynamic management
Intraoperative fluid management is pivotal to the outcome and success of surgery, especially in high-risk procedures. Empirical formula and invasive static monitoring have been traditionally used to guide intraoperative fluid management and assess volume status. With the awareness of the potential complications of invasive procedures and the poor reliability of these methods as indicators of vo...
متن کاملPerioperative fluid management.
Technological advances have changed how traditional surgical procedures are performed. New knowledge and surgical skills are required to effectively monitor the patient and manage fluids administered perioperatively. Today, selective fluids are used in a variety of surgical specialties. Complications of fluid therapy can occur that are intrinsic to each procedure within a specialty. This articl...
متن کاملPerioperative Fluid Management 2002
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...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2009
ISSN: 0003-3022
DOI: 10.1097/aln.0b013e3181984217