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Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies.
Surg Clin North Am. 2018 Dec; 98(6):1185-1200.SC

Abstract

Ideal fluid management is a critical component of enhanced recovery after surgery protocols and should be considered throughout the perioperative period. The goal of preoperative fluid management is for the patient to arrive to the operating room euvolemic. Intraoperative goals of fluid management are to preserve intravascular volume and minimize salt and water uptake through intravenous crystalloid infusions. Postoperatively, once patients are tolerant of oral fluid intake, intravenous fluids are not required and should be restarted only if clinically necessary. This article reviews evidence-based, best practices for intraoperative fluid management for patients undergoing surgery within an enhanced recovery after surgery pathway.

Authors+Show Affiliations

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham School of Medicine, JT 845, 619 South 19th Street, Birmingham, AL 35249, USA. Electronic address: jwsimmons@uabmc.edu.Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham School of Medicine, JT 845, 619 South 19th Street, Birmingham, AL 35249, USA.Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham School of Medicine, JT 845, 619 South 19th Street, Birmingham, AL 35249, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30390851

Citation

Simmons, Jeffrey W., et al. "Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies." The Surgical Clinics of North America, vol. 98, no. 6, 2018, pp. 1185-1200.
Simmons JW, Dobyns JB, Paiste J. Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies. Surg Clin North Am. 2018;98(6):1185-1200.
Simmons, J. W., Dobyns, J. B., & Paiste, J. (2018). Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies. The Surgical Clinics of North America, 98(6), 1185-1200. https://doi.org/10.1016/j.suc.2018.07.006
Simmons JW, Dobyns JB, Paiste J. Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies. Surg Clin North Am. 2018;98(6):1185-1200. PubMed PMID: 30390851.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Enhanced Recovery After Surgery: Intraoperative Fluid Management Strategies. AU - Simmons,Jeffrey W, AU - Dobyns,Jeffrey B, AU - Paiste,Juhan, Y1 - 2018/08/24/ PY - 2018/11/5/entrez PY - 2018/11/6/pubmed PY - 2018/11/10/medline KW - ERAS KW - Fluid management KW - Goal-directed fluid therapy SP - 1185 EP - 1200 JF - The Surgical clinics of North America JO - Surg. Clin. North Am. VL - 98 IS - 6 N2 - Ideal fluid management is a critical component of enhanced recovery after surgery protocols and should be considered throughout the perioperative period. The goal of preoperative fluid management is for the patient to arrive to the operating room euvolemic. Intraoperative goals of fluid management are to preserve intravascular volume and minimize salt and water uptake through intravenous crystalloid infusions. Postoperatively, once patients are tolerant of oral fluid intake, intravenous fluids are not required and should be restarted only if clinically necessary. This article reviews evidence-based, best practices for intraoperative fluid management for patients undergoing surgery within an enhanced recovery after surgery pathway. SN - 1558-3171 UR - https://www.unboundmedicine.com/medline/citation/30390851/Enhanced_Recovery_After_Surgery:_Intraoperative_Fluid_Management_Strategies_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0039-6109(18)30100-2 DB - PRIME DP - Unbound Medicine ER -