Perioperative fluid and hemodynamic management within an enhanced recovery pathway.

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Manning, MW; Dunkman, WJ; Miller, TE

Published Date

  • October 2017

Published In

Volume / Issue

  • 116 / 5

Start / End Page

  • 592 - 600

PubMed ID

  • 28940567

Electronic International Standard Serial Number (EISSN)

  • 1096-9098

Digital Object Identifier (DOI)

  • 10.1002/jso.24828


  • eng

Conference Location

  • United States