Monitoring needs and goal-directed fluid therapy within an enhanced recovery program.
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.
Duke Scholars
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Related Subject Headings
- Postoperative Complications
- Perioperative Care
- Needs Assessment
- Monitoring, Intraoperative
- Hypovolemia
- Humans
- Goals
- Fluid Therapy
- Cardiac Output
- Anesthesiology
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Postoperative Complications
- Perioperative Care
- Needs Assessment
- Monitoring, Intraoperative
- Hypovolemia
- Humans
- Goals
- Fluid Therapy
- Cardiac Output
- Anesthesiology