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Perioperative fluid therapy for anaesthetists and intensivists
- Source :
- Anaesthesia & Intensive Care Medicine. 22:611-614
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Understanding fluid physiology in homeostasis and disease is a key part of anaesthesia and intensive care. Decision making in perioperative fluid therapy is guided by knowledge of fluid compartments, shifts in illness and surgery and the composition of commonly used intravenous fluids. The implication of poor fluid management has significant outcomes for the patient, with both under-resuscitation and over administration of fluids leading to organ dysfunction and postoperative morbidity and mortality. Increasing use of haemodynamic monitoring within a guideline framework is advised. The evidence base for type of fluid, timing, and volume remain areas of investigation and ongoing clinical debate and it is vital as clinicians involved in perioperative care to continually update our knowledge of this area. Research is currently ongoing to determine whether restrictive, liberal or goal-directed fluid therapy is optimal to guide our practice. In the meantime, advice is to both individualize management to the patient condition and develop local protocols where possible.
- Subjects :
- medicine.medical_specialty
business.industry
Organ dysfunction
Perioperative
Disease
Fluid compartments
Fluid management
Guideline
030204 cardiovascular system & hematology
Critical Care and Intensive Care Medicine
03 medical and health sciences
0302 clinical medicine
Anesthesiology and Pain Medicine
Fluid therapy
Intensive care
medicine
030212 general & internal medicine
medicine.symptom
Intensive care medicine
business
Subjects
Details
- ISSN :
- 14720299
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Anaesthesia & Intensive Care Medicine
- Accession number :
- edsair.doi.dedup.....82d460c1b5c058e52c540ab40b9d32fe