Perioperative restrictive versus goal-directed fluid therapy for adults undergoing major non-cardiac surgery
نویسندگان
چکیده
منابع مشابه
Intraoperative 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 کاملCrystalloids versus colloids for goal-directed fluid therapy in major surgery
INTRODUCTION Perioperative hypovolemia arises frequently and contributes to intestinal hypoperfusion and subsequent postoperative complications. Goal-directed fluid therapy might reduce these complications. The aim of this study was to compare the effects of goal-directed administration of crystalloids and colloids on the distribution of systemic, hepatosplanchnic, and microcirculatory (small i...
متن کاملCLINICAL SCIENCE Intraoperative fluid management in open gastro- intestinal surgery: goal-directed versus restrictive
METHOD: A total of 60 patients who were undergoing gastrointestinal surgery were randomized into a restrictive lactated Ringer’s group (n = 20), a goal-directed lactated Ringer’s group (n = 20) and a goal-directed hydroxyethyl starch group (n = 20). The goal-directed fluid treatment was guided by pulse pressure variation, which was recorded during surgery using a simple manual method with a Dat...
متن کاملIntraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive
OBJECTIVE The optimal strategy for fluid management during gastrointestinal surgery remains unclear. Minimizing the variation in arterial pulse pressure, which is induced by mechanical ventilation, is a potential strategy to improve postoperative outcomes. We tested this hypothesis in a prospective, randomized study with lactated Ringer's solution and 6% hydroxyethyl starch solution. METHOD A...
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...
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ژورنال
عنوان ژورنال: Cochrane Database of Systematic Reviews
سال: 2019
ISSN: 1465-1858
DOI: 10.1002/14651858.cd012767.pub2