Key result
A review of British and German guidelines on peri-operative infusion therapy highlights the need to implement international evidence-based recommendations, including restrictive tactics, in Russia.
Highlights the need to adapt and implement recent international evidence-based guidelines on peri-operative infusion therapy in Russian anesthesiology practice.
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Supports adapting international restrictive infusion guidelines in Russia; leaves open need for local validation trials before practice change.
Goal: to familiarize Russian anesthesiologists with the most recent data of the evidence-based medicine about peri-operative infusion therapy. The right choice of the infusion therapy strategy and tactics is a mandatory component of the successful management of the peri-operative period. The most significant changes have recently occurred specifically in this field. First the concept of restrictive tactics of infusion therapy emerged and won its popularity very fast. Then some reasonable doubts appeared about feasibility and safety of using HES solutions. Both affect basic principles of infusion therapy and the recent changes are to be considered from the position of the evidence-based medicine. British and German experts attended these issues and published the relevant guidelines in 2011 and 2016. Comparison and analysis of the implementation opportunities in Russia and recommendations make the subject of this publication. Conclusion: It is necessary to implement the international recommendations for peri-operative infusion therapy with adjustment to relevant Russian regulations in the anesthesiology and intensive care departments.
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V. V. Likhntsev (2016) conducted a review in Peri-operative infusion therapy. Peri-operative infusion therapy was evaluated. A review of British and German guidelines on peri-operative infusion therapy highlights the need to implement international evidence-based recommendations, including restrictive tactics, in Russia.
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