Key result
Goal-directed fluid therapy is the most complete and widely applicable strategy in major surgery, whereas a restrictive approach may be considered if perioperative risk is low.
Why the study?
The optimal amount and type of fluid administered during perioperative fluid management in major surgery remain subjects of ongoing debate.
What is the optimal perioperative fluid management strategy (amount and type) for patients undergoing major surgery?
Population
Patients undergoing major surgery
Comparison
Different types and amounts of perioperative fluid therapy
Design
Narrative review
Authors
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Optimal fluid strategy in major surgery remains uncertain; leaves open the need for definitive RCTs.
What is the optimal perioperative fluid management strategy (amount and type) for patients undergoing major surgery?
Goal-directed fluid therapy is recommended as the standard approach for major surgery, with restrictive strategies reserved for low-risk patients.
Baert et al. (2022) conducted a review in Major surgery. Goal-directed fluid therapy vs. Restrictive or liberal fluid therapy was evaluated. Goal-directed fluid therapy is the most complete and widely applicable strategy in major surgery, whereas a restrictive approach may be considered if perioperative risk is low.
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