Key result
Goal-directed therapy and zero-balance fluid strategies can potentially improve surgical patient outcomes by optimizing intravascular volume while avoiding fluid overload.
Why the study?
Does goal-directed fluid therapy improve outcomes compared to liberal or restrictive fluid therapy strategies in patients undergoing surgery?
Does goal-directed fluid therapy improve outcomes compared to liberal or restrictive fluid therapy strategies in patients undergoing surgery?
Goal-directed fluid therapy appears to be the optimal strategy for intraoperative fluid management to ensure adequate organ perfusion while avoiding fluid overload.
May favor goal-directed fluid therapy intraoperatively; leaves open consensus pending higher-level evidence.
Currently, there is no consensus about the optimum intraoperative fluid therapy strategy. There is growing body of evidence supports the beneficial effects of adopting "Goal-directed therapy" over either the "liberal" or "restrictive" fluid therapy strategies. In this narrative review, we have presented the evidence to support the optimum strategy for intraoperative therapy. In conclusion, whatever the intravenous fluid replacement strategy used, the anesthesiologist must be prepared to adjust the composition and rate of the fluids administered to provide sufficient intravascular fluid volume for adequate perfusion of vital organs without overwhelming the glycocalyx function with fluid overloads.
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AbdulmohsinA Al-Ghamdi (2018) conducted a review in Surgical patients. Goal-directed fluid therapy vs. Liberal or restrictive fluid therapy was evaluated. Goal-directed therapy and zero-balance fluid strategies can potentially improve surgical patient outcomes by optimizing intravascular volume while avoiding fluid overload.
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