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

Loading...
Thumbnail Image

Date

2015-03

Journal Title

Journal ISSN

Volume Title

Repository Usage Stats

166
views
1421
downloads

Citation Stats

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.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.1016/j.anclin.2014.11.003

Publication Info

Minto, Gary, Michael J Scott and Timothy E Miller (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.

Scholars@Duke

Miller

Timothy Ellis Miller

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.


Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.