Perioperative Fluid Therapy for Major Surgery
نویسندگان
چکیده
منابع مشابه
Perioperative beta-blocker therapy and mortality after major noncardiac surgery.
BACKGROUND Despite limited evidence from randomized trials, perioperative treatment with beta-blockers is now widely advocated. We assessed the use of perioperative beta-blockers and their association with in-hospital mortality in routine clinical practice. METHODS We conducted a retrospective cohort study of patients 18 years of age or older who underwent major noncardiac surgery in 2000 and...
متن کاملPotential return on investment for implementation of perioperative goal-directed fluid therapy in major surgery: a nationwide database study
BACKGROUND Preventable postsurgical complications are increasingly recognized as a major clinical and economic burden. A recent meta-analysis showed a 17-29 % decrease in postoperative morbidity with goal-directed fluid therapy. Our objective was to estimate the potential economic impact of perioperative goal-directed fluid therapy. METHODS We studied 204,680 adult patients from 541 US hospit...
متن کاملPerioperative Intravenous Fluid Therapy for Adults
Fluid and electrolyte homeostasis is a highly evolved mechanism, designed to conserve sodium and water in periods of illness. The advent of intravenous fluid therapy has challenged this system to operate in an opposite manner and excrete perioperatively administered sodium and water. Excessive fluid generates oedema and is associated with organ dysfunction and even death. Numerous fluid types h...
متن کاملPerioperative fluid therapy in pediatrics.
Perioperative fluid therapy should be considered as a medical prescription of which both the volume and the composition should be adapted to the patient status, the type of operation and the expected events in the postoperative period. Perioperative fluid therapy is aimed at providing maintenance fluid requirements, at correcting fluid deficit and at providing the volume of fluid needed to main...
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...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2019
ISSN: 0003-3022
DOI: 10.1097/aln.0000000000002603