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.
- Manning, MW; Dunkman, WJ; Miller, TE
- October 2017
Volume / Issue
- 116 / 5
Start / End Page
- 592 - 600
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States