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perioperative goal-directed fluid therapy:Grand progress and controversy
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Gastrointestinal Surgery
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1671-0274.2012.06.003
- Key Word:
- 目标导向治疗;加速康复外科;围手术期处理;液体治疗;Goal-directed therapy;Fast track surgery;Perioperative management;Fluid therapy
Abstract： Fluid therapy is one of the most controversial topics in perioperative management. Current perioperative fluid therapy is largely based on concepts developed restricted and liberal perioperative fluid administration in the late 1950s and 1960s.However,there arc increasing reports of perioperative excessive intravascular volume leading to increased postoperative morbidity and mortality.The concept of individualized goal-directed therapy in surgical patients seems to be an important component for optimization of perioperative fluid management in high-risk surgical patients.
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