Intravenous fluid therapy evidence. An outstanding issue.
DOI:
https://doi.org/10.30445/rear.v12i11.867Keywords:
fluid therapies, perioperative period, major surgeryAbstract
Intravenous fluid therapy is a key component in the protocols and clinical pathways in enhanced recovery after surgery protocols. This article reviews the new recommendations based on current evidence: from the limitation of preoperative fasting and hemodynamic monitoring of the systolic volume, to a restrictive but permissive balance in the intraoperative and rapid recovery of the oral route in the first hours of surgery. Perioperative patients with hypotension or evidence of inadequate tissue perfusion should first be fluid-optimized before implementation of vasopressor therapy.
References
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- Smith I, Kranke P, Murat I, Smith A, O’sullivan G, Søreide E, et al. European Society of Anaesthesiology. Perioperative fasting in adults and children: guidelines from the european society of anaesthesiology. Eur J Anaesthesiol 2011; 28: 556–69.
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- Calvo-Vecino JM, Ripollés-Melchor J, Mythen MG, Casans-Francés R, Balik A et al. FEDORA Trial Investigators Group: Effect of goal-directed haemodynamic therapy on postoperative complications in low-moderate risk surgical patients: A multicentre randomised controlled trial (FEDORA trial). Br J Anaesth 2018; 120: 734–44.
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Published
2020-12-09
How to Cite
Perez Herrero, M. A. (2020). Intravenous fluid therapy evidence. An outstanding issue. Revista Electrónica AnestesiaR, 12(11). https://doi.org/10.30445/rear.v12i11.867
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Critical reviews of articles
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