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Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies.
Jeffrey W Simmons1, Jeffrey B Dobyns1, Juhan Paiste1
1Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham School of Medicine, JT 845, 619 South 19th Street, Birmingham, AL 35249, USA.
The Surgical Clinics of North America
|November 5, 2018
Summary
Optimal fluid management is essential for enhanced recovery after surgery (ERAS) protocols. This review outlines evidence-based intraoperative fluid strategies to maintain patient hydration and minimize fluid overload during surgery.
Area of Science:
- Anesthesiology
- Surgical Patient Management
- Perioperative Medicine
Background:
- Fluid management is crucial for enhanced recovery after surgery (ERAS) protocols.
- Maintaining euvolemia preoperatively is a key goal.
- Intraoperative fluid management aims to preserve intravascular volume and limit crystalloid infusion.
Purpose of the Study:
- To review evidence-based best practices for intraoperative fluid management.
- To guide clinicians on fluid strategies within ERAS pathways.
- To optimize patient outcomes through appropriate fluid administration.
Main Methods:
- Review of current literature on perioperative fluid management.
- Analysis of evidence supporting specific intraoperative fluid strategies.
- Synthesis of best practices for ERAS pathways.
Main Results:
- Preoperative goal: achieve euvolemia.
- Intraoperative goals: preserve intravascular volume, minimize fluid overload.
- Postoperative: discontinue IV fluids when oral intake is tolerated.
Conclusions:
- Fluid management is integral to ERAS protocols.
- Evidence-based intraoperative fluid practices are essential for patient recovery.
- Tailoring fluid management to the perioperative period optimizes surgical outcomes.
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