Perioperative fluid therapy: a statement from the international fluid optimization group

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorNavarro, Lais Helena Camacho
dc.creatorBloomstone, Joshua A.
dc.creatorAuler, Jose Otavio Costa
dc.creatorCannesson, Maxime
dc.creatorRocca, Giorgio Della
dc.creatorGan, Tong J.
dc.creatorKinsky, Michael
dc.creatorMagder, Sheldon
dc.creatorMiller, Timothy E.
dc.creatorMythen, Monty
dc.creatorPerel, Azriel
dc.creatorReuter, Daniel A.
dc.creatorPinsky, Michael R.
dc.creatorKramer, George C.
dc.date2015-12-07T15:36:20Z
dc.date2016-10-25T21:23:39Z
dc.date2015-12-07T15:36:20Z
dc.date2016-10-25T21:23:39Z
dc.date2015-04-10
dc.date.accessioned2017-04-06T09:30:57Z
dc.date.available2017-04-06T09:30:57Z
dc.identifierPerioperative Medicine (london, England), v. 4, p. 3, 2015.
dc.identifier2047-0525
dc.identifierhttp://hdl.handle.net/11449/131491
dc.identifierhttp://acervodigital.unesp.br/handle/11449/131491
dc.identifier10.1186/s13741-015-0014-z
dc.identifierPMC4403901.pdf
dc.identifier25897397
dc.identifierPMC4403901
dc.identifierhttp://dx.doi.org/10.1186/s13741-015-0014-z
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/942031
dc.descriptionPerioperative fluid therapy remains a highly debated topic. Its purpose is to maintain or restore effective circulating blood volume during the immediate perioperative period. Maintaining effective circulating blood volume and pressure are key components of assuring adequate organ perfusion while avoiding the risks associated with either organ hypo- or hyperperfusion. Relative to perioperative fluid therapy, three inescapable conclusions exist: overhydration is bad, underhydration is bad, and what we assume about the fluid status of our patients may be incorrect. There is wide variability of practice, both between individuals and institutions. The aims of this paper are to clearly define the risks and benefits of fluid choices within the perioperative space, to describe current evidence-based methodologies for their administration, and ultimately to reduce the variability with which perioperative fluids are administered. Based on the abovementioned acknowledgements, a group of 72 researchers, well known within the field of fluid resuscitation, were invited, via email, to attend a meeting that was held in Chicago in 2011 to discuss perioperative fluid therapy. From the 72 invitees, 14 researchers representing 7 countries attended, and thus, the international Fluid Optimization Group (FOG) came into existence. These researches, working collaboratively, have reviewed the data from 162 different fluid resuscitation papers including both operative and intensive care unit populations. This manuscript is the result of 3 years of evidence-based, discussions, analysis, and synthesis of the currently known risks and benefits of individual fluids and the best methods for administering them. The results of this review paper provide an overview of the components of an effective perioperative fluid administration plan and address both the physiologic principles and outcomes of fluid administration. We recommend that both perioperative fluid choice and therapy be individualized. Patients should receive fluid therapy guided by predefined physiologic targets. Specifically, fluids should be administered when patients require augmentation of their perfusion and are also volume responsive. This paper provides a general approach to fluid therapy and practical recommendations.
dc.languageeng
dc.publisherSpringer
dc.relationPerioperative Medicine (london, England)
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFluid responsiveness
dc.subjectFluid resuscitation
dc.subjectGoal-directed fluid therapy
dc.subjectPerioperative fluids
dc.titlePerioperative fluid therapy: a statement from the international fluid optimization group
dc.typeOtro


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