Peri-operative fluid management in major colorectal surgery: do we comply with current guidance and what are the implications for our patients?
نویسندگان
چکیده
Intr Individualised Goal Directed Fluid Therapy, monitoring Cardiac Output, or other surrogates of tissue oxygenation, to guide intra-venous (IV) fluid delivery, is a cornerstone of Enhanced Recovery. Debate surrounds the optimal timing, volume and targets for IV fluid, but the physiological consequences of head-down positioning, pneumoperitoneum (laparoscopic) and the implications of hypoperfusion or oedema for anastomotic integrity, demand scrupulous attention to fluid management in colorectal surgical patients. Flow monitoring devices (eg Oesophageal Doppler) can reduce complications and current guidance stipulates their use [1].
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