Perioperative fluid and hemodynamic management within an enhanced recovery pathway.

J Surg Oncol

Division of General, Vascular, and Transplant Anesthesia, Department of Anesthesiology, Duke University, Durham, North Carolina.

Published: October 2017

AI Article Synopsis

  • Goal-directed fluid therapy (GDFT) focuses on customizing IV fluid and vasoactive infusions to enhance oxygen delivery for better patient outcomes.
  • Trials indicate GDFT has advantages over standard liberal fluid intake but lacks clear benefits when compared to a more restrictive strategy within improved recovery programs.
  • The best methods for monitoring, determining hemodynamic goals, and fluid use are unclear, suggesting that using smart and logical fluid management could be more crucial than the specific approach taken.

Article Abstract

Goal-directed fluid therapy (GDFT) seeks to improve outcomes through individualized optimization of oxygen delivery using IV fluid and vasoactive infusions. Trials of GDFT show clinical benefits over traditional liberal fluid administration, but fail to demonstrate benefits when compared to a restrictive strategy within an optimized enhanced recovery protocol. The ideal monitors, hemodynamic goals, and fluid administration strategy are not well established but may be less important than rational application of thoughtful fluid management strategies.

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Source
http://dx.doi.org/10.1002/jso.24828DOI Listing

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