Perioperative fluid and hemodynamic management within an enhanced recovery pathway.
Schmidt, Carl R
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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.
Randomized Controlled Trials as Topic
Published Version (Please cite this version)10.1002/jso.24828
Publication InfoManning, Michael; Miller, Timothy; & Dunkman, William Jonathan (2017). Perioperative fluid and hemodynamic management within an enhanced recovery pathway. Journal of surgical oncology, 116(5). pp. 592-600. 10.1002/jso.24828. Retrieved from https://hdl.handle.net/10161/17259.
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Assistant Professor of Anesthesiology
Dr. Michael W. Manning, MD, PhD, is currently an Assistant Professor at Duke University Medical Center, within the Divisions of Cardiothoracic and General, Vascular, Transplant anesthesia. He serves as the director of research for the Perioperative Medicine Fellowship at Duke. His clinical practice focuses on high risk cardiac surgery, Heart, Lung, and Liver transplantation. Dr. Manning earned a PhD in cardiovascular physiology from the University of Kentucky where studied the role th
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.
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