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 Surgjournal_title
Clinics in colon and rectal surgeryauthors
Zhu AC,Agarwala A,Bao Xdoi
10.1055/s-0038-1676476subject
Has Abstractpub_date
2019-03-01 00:00:00pages
114-120issue
2eissn
1531-0043issn
1530-9681pii
00901journal_volume
32pub_type
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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