Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary...

Area of Science:

• Anesthesiology and Perioperative Medicine
• Critical Care Medicine
• Surgical Patient Management

Background:

• Fluid therapy is crucial in perioperative care.
• Emerging evidence prompted the Perioperative Quality Initiative (POQI) to develop consensus recommendations.
• This initiative addresses fluid management from pre-operation to discharge for various surgeries.

Framework:

• Evidence-based consensus recommendations for perioperative fluid management.
• Covers elective and emergency surgery, excluding burn and head/neck procedures.
• Includes specific guidance for major noncardiac surgery, cardiopulmonary bypass, thoracic surgery, neurosurgery, minor noncardiac surgery, and critical illness.

Implementation:

• Recommendations guide fluid management across the perioperative continuum.
• Highlights the need for individualized approaches based on surgical type and patient comorbidities.
• Acknowledges existing knowledge gaps and areas of practice variation.

Implications:

• Aims to standardize and improve perioperative fluid management.
• Identifies critical areas for future research to refine clinical practice.
• Promotes personalized fluid strategies for better surgical outcomes.