WebJun 1, 2012 · The aim of intraoperative fluid therapy is to maintain an adequate circulating volume to ensure end-organ perfusion and oxygen delivery to the tissues. Traditionally, this was achieved by routine infusion of large volumes of crystalloid. Webance in order to improve fluid and electrolyte management of in-patients.12 The surgical patient with diabetes requiring emergency surgery is at higher risk of AKI13 and fluid and elec-trolyte complications due to: (i) Co-morbidity e.g. pre-existing renal and cardiac impairment. (ii) Polypharmacy including nephrotoxic agents; diuretics and
Fast-track surgery and anaesthesia BJA Education Oxford …
WebOct 1, 2008 · Perioperative radiocontrast administration. Abdominal compression syndrome. 25. The following non-pharmacological strategies are beneficial for perioperative renal protection: Use of 0.9% saline rather than albumin for intravascular volume expansion. Isotonic intravenous fluid therapy for the prevention of radiocontrast-induced nephropathy. WebPerioperative fluid management impacts outcomes and plays a pivotal role in enhanced recovery pathways (ERPs). There have been major advances in understanding the effects of fluid therapy and administration during the perioperative period. Improving fluid management during this period leads to a decrease in complications, decrease in length … greater grand mental health center
Perioperative electrolyte and fluid balance BJA Education …
WebThe advent of individualized goal-directed fluid therapy, facilitated by minimally invasive, flow-based cardiovascular monitoring, for example, oesophageal Doppler monitoring, has improved outcomes in colorectal surgery in particular, and this monitor has been approved by clinical guidance authorities. Clinical assessment of intravascular volume and laboratory investigations are essential to guide perioperative fluid therapy. Thirst, skin turgor, hydration of mucous membranes, … See more In practice, previously healthy patients with an uncomplicated perioperative course tolerate even the most bizarre fluid regimens. Problems … See more Debate exists as to the most appropriate fluid type to use in the perioperative period. Systematic reviews show no difference in … See more WebNov 24, 2024 · The British Journal of Anaesthesia (BJA) publishes high-impact original work in all branches of anaesthesia, critical care medicine, pain medicine and perioperative medicine including fundamental, translational and clinical sciences, clinical practice, technology, education and training. greater grand mental health center chicago