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[Perioperative fluid management].
Chirurg. 2020 Feb; 91(2):121-127.C

Abstract

An appropriate perioperative infusion management is pivotal for the perioperative outcome of the patient. Optimization of the perioperative fluid treatment often results in enhanced postoperative outcome, reduced perioperative complications and shortened hospitalization. Hypovolemia as well as hypervolemia can lead to an increased rate of perioperative complications. The main goal is to maintain perioperative euvolemia by goal-directed therapy (GDT), a combination of fluid management and inotropic medication, to optimize perfusion conditions in the perioperative period; however, perioperative fluid management should also include the preoperative and postoperative periods. This encompasses the preoperative administration of carbohydrate-rich drinks up to 2 h before surgery. In the postoperative period, patients should be encouraged to start per os hydration early and excessive i.v. fluid administration should be avoided. Implementation of a comprehensive multimodal, goal-directed fluid management within an enhanced recovery after surgery (ERAS) protocol is efficient but the exact status of indovodual items remains unclear at present.

Authors+Show Affiliations

Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Deutschland.Klinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Deutschland.Klinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Deutschland.Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, Hamburg, 20246, Deutschland.Universitätsklinik für Allgemein- und Viszeralchirurgie, Klinikum Oldenburg, Rahel-Strauss-Straβe 10, 26133, Oldenburg, Deutschland. maximilian.bockhorn@uni-oldenburg.de.

Pub Type(s)

Journal Article
Review

Language

ger

PubMed ID

32025774

Citation

Wellge, B E., et al. "[Perioperative Fluid Management]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 91, no. 2, 2020, pp. 121-127.
Wellge BE, Trepte CJ, Zöllner C, et al. [Perioperative fluid management]. Chirurg. 2020;91(2):121-127.
Wellge, B. E., Trepte, C. J., Zöllner, C., Izbicki, J. R., & Bockhorn, M. (2020). [Perioperative fluid management]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 91(2), 121-127. https://doi.org/10.1007/s00104-020-01134-6
Wellge BE, et al. [Perioperative Fluid Management]. Chirurg. 2020;91(2):121-127. PubMed PMID: 32025774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perioperative fluid management]. AU - Wellge,B E, AU - Trepte,C J, AU - Zöllner,C, AU - Izbicki,J R, AU - Bockhorn,M, PY - 2020/2/7/entrez PY - 2020/2/7/pubmed PY - 2020/3/3/medline KW - ERAS KW - Hypovolemia KW - Morbidity KW - Mortality KW - Perioperative fluid management SP - 121 EP - 127 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 91 IS - 2 N2 - An appropriate perioperative infusion management is pivotal for the perioperative outcome of the patient. Optimization of the perioperative fluid treatment often results in enhanced postoperative outcome, reduced perioperative complications and shortened hospitalization. Hypovolemia as well as hypervolemia can lead to an increased rate of perioperative complications. The main goal is to maintain perioperative euvolemia by goal-directed therapy (GDT), a combination of fluid management and inotropic medication, to optimize perfusion conditions in the perioperative period; however, perioperative fluid management should also include the preoperative and postoperative periods. This encompasses the preoperative administration of carbohydrate-rich drinks up to 2 h before surgery. In the postoperative period, patients should be encouraged to start per os hydration early and excessive i.v. fluid administration should be avoided. Implementation of a comprehensive multimodal, goal-directed fluid management within an enhanced recovery after surgery (ERAS) protocol is efficient but the exact status of indovodual items remains unclear at present. SN - 1433-0385 UR - https://www.unboundmedicine.com/medline/citation/32025774/[Perioperative_fluid_management] L2 - https://dx.doi.org/10.1007/s00104-020-01134-6 DB - PRIME DP - Unbound Medicine ER -