Key result
Goal-directed perioperative hemodynamic and volume management using dynamic parameters and physiological testing helps prevent harmful fluid overload and hypovolemia to improve surgical outcomes.
Why the study?
Fluid overload and severe fluid depletion in the perioperative period cause adverse outcomes, prompting an overview of how to evaluate fluid responsiveness, parameters to use, and limitations to note.
Goal-directed perioperative fluid management utilizing dynamic parameters and physiological testing is essential to prevent the harmful effects of both fluid overload and hypovolemia.
May support dynamic parameter-guided fluid management perioperatively; leaves open confirmation of outcome benefits in higher-level trials.
Over 300 million surgical procedures are performed every year worldwide. Anesthesiologists play an important role in the perioperative process by assessing the overall risk of surgery and aim to reduce the risk of complications. Perioperative hemodynamic and volume management can help to improve outcomes in perioperative patients. There has been ongoing discussion about goal-directed therapy. However, there is a consensus that fluid overload and severe fluid depletion in the perioperative period are harmful and can lead to adverse outcomes. This article provides an overview of how to evaluate the fluid responsiveness of patients, details which parameters could be used, and what limitations should be noted.
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Sander et al. (2020) conducted a review in Perioperative fluid management. Goal-directed hemodynamic and volume therapy was evaluated. Goal-directed perioperative hemodynamic and volume management using dynamic parameters and physiological testing helps prevent harmful fluid overload and hypovolemia to improve surgical outcomes.
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