Monitoring Needs and Goal-directed Fluid Therapy Within an Enhanced Recovery Program  

Oleh:

Minto, Gary ; Scott, Michael J. ; Miller, Timothy E.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 33 no. 01 (Mar. 2015), page 35–49 .
Topik: Fluid therapy; Colorectal surgery; Cardiac output monitoring; Enhanced recovery

Ketersediaan

Perpustakaan FK Nomor Panggil: A34.K Non-tandon: tidak ada Tandon: 1

Lihat Detail Induk

Isi artikel

Patients having major abdominal surgery need perioperative fluid supplementation; however, enhanced recovery principles mitigate against many of the factors that traditionally led to relative hypovolemia in the perioperative period. An estimate of fluid requirements for abdominal surgery can be made but individualization of fluid prescription requires consideration of clinical signs and hemodynamic variables. The literature supports goal-directed fluid therapy. Application of this evidence to justify stroke volume optimization in the setting of major surgery within an enhanced recovery program is controversial. This article places the evidence in context, reviews controversies, and suggests implications for current practice and future research.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali