[Perioperative fluid therapy in perforated ulcers].

Area of Science:

• Emergency surgery
• Surgical critical care
• Fluid resuscitation

Context:

• Perforated ulcer surgery is a common emergency procedure with high mortality.
• Perioperative fluid management strategies require further investigation.
• Current practices lack standardized data collection for rational fluid therapy.

Purpose:

• To describe perioperative fluid management in patients undergoing surgery for perforated ulcers.
• To identify potential areas for improvement in fluid management protocols.
• To establish a foundation for future research on fluid therapy in this patient cohort.

Summary:

• A retrospective survey of 45 patients revealed inconsistent fluid balance monitoring, with data availability decreasing significantly postoperatively.
• Perioperative fluid administration showed extensive variation, with minimal preoperative fluid given to most patients.
• No patients were weighed for fluid status assessment, indicating a lack of comprehensive monitoring.

Impact:

• Preoperative fluid management and postoperative monitoring are suboptimal and require optimization.
• Individualized, goal-directed fluid administration is recommended for high-risk emergency surgery patients.
• Improved fluid management may enhance oxygen delivery and patient outcomes in critical surgical scenarios.