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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Minto, G; Scott, MJ; Miller, TE

Published Date

  • March 2015

Published In

Volume / Issue

  • 33 / 1

Start / End Page

  • 35 - 49

PubMed ID

  • 25701927

International Standard Serial Number (ISSN)

  • 1932-2275

Digital Object Identifier (DOI)

  • 10.1016/j.anclin.2014.11.003


  • eng

Conference Location

  • United States