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    Monitoring needs and goal-directed fluid therapy within an enhanced recovery program.

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    Date
    2015-03
    Authors
    Minto, G
    Scott, MJ
    Miller, Timothy Ellis
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    Abstract
    Patients having major abdominal surgery need perioperative fluid supplementation; however, enhanced recovery principles mitigate against many of the factors that traditionally led to relative hypovolemia in the perioperative period. An estimate of fluid requirements for abdominal surgery can be made but individualization of fluid prescription requires consideration of clinical signs and hemodynamic variables. The literature supports goal-directed fluid therapy. Application of this evidence to justify stroke volume optimization in the setting of major surgery within an enhanced recovery program is controversial. This article places the evidence in context, reviews controversies, and suggests implications for current practice and future research.
    Type
    Journal article
    Subject
    Cardiac output monitoring
    Colorectal surgery
    Enhanced recovery
    Fluid therapy
    Abdomen
    Cardiac Output
    Fluid Therapy
    Goals
    Humans
    Hypovolemia
    Monitoring, Intraoperative
    Needs Assessment
    Perioperative Care
    Postoperative Complications
    Permalink
    https://hdl.handle.net/10161/13996
    Published Version (Please cite this version)
    10.1016/j.anclin.2014.11.003
    Publication Info
    Minto, G; Scott, MJ; & Miller, Timothy Ellis (2015). Monitoring needs and goal-directed fluid therapy within an enhanced recovery program. Anesthesiol Clin, 33(1). pp. 35-49. 10.1016/j.anclin.2014.11.003. Retrieved from https://hdl.handle.net/10161/13996.
    This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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    Scholars@Duke

    Miller

    Timothy Ellis Miller

    Associate Professor of Anesthesiology
    Clinical and research interests are Enhanced Recovery and Perioperative Medicine; with particular interests in fluid management, and perioperative optimization of the high-risk non-cardiac surgery patient.
    Open Access

    Articles written by Duke faculty are made available through the campus open access policy. For more information see: Duke Open Access Policy

    Rights for Collection: Scholarly Articles

     

     

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