Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway.

Abstract:

:Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase of the perioperative period. Preoperatively, patients should be encouraged to hydrate until 2 hours prior to the induction of anesthesia with a carbohydrate-containing clear liquid. When mechanical bowel preparation is necessary, with modern isoosmotic solutions, fluid repletion is not necessary. Intraoperatively, fluid therapy should aim to maintain euvolemia with an individualized approach. While some patients may benefit from goal-directed fluid therapy, a restrictive, zero-balance approach to intraoperative fluid management may be reasonable. Postoperatively, early initiation of oral intake and cessation of intravenous therapy are recommended.

journal_name

Clin Colon Rectal Surg

authors

Zhu AC,Agarwala A,Bao X

doi

10.1055/s-0038-1676476

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

114-120

issue

2

eissn

1531-0043

issn

1530-9681

pii

00901

journal_volume

32

pub_type

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