| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Martin, Greg S. Kaufman, David A. Marik, Paul E. Shapiro, Nathan I. Levett, Denny Z. H. Whittle, John MacLeod, David B. Chappell, Desiree Lacey, Jonathan Woodcock, Tom Mitchell, Kay Malbrain, Manu L. N. G. Woodcock, Tom M. Martin, Daniel Imray, Chris H. E. Manning, Michael W. Howe, Henry Grocott, Michael P. W. Mythen, Monty G. Gan, Tong J. Miller, Timothy E. |
| Abstract | Background Optimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state. Methods The Perioperative Quality Initiative (POQI-5) consensus conference brought together an international team of multidisciplinary experts to survey and evaluate the literature on the physiology of volume responsiveness and perioperative fluid management. The group used a modified Delphi method to develop consensus statements applicable to the physiologically based management of intravenous fluid therapy in the perioperative setting. Discussion We discussed the clinical and physiological evidence underlying fluid responsiveness and venous capacitance as relevant factors in fluid management and developed consensus statements with clinical implications for a broad group of clinicians involved in intravenous fluid therapy. Two key concepts emerged as follows: (1) The ultimate goal of fluid therapy and hemodynamic management is to support the conditions that enable normal cellular metabolic function in order to produce optimal patient outcomes, and (2) optimal fluid and hemodynamic management is dependent on an understanding of the relationship between pressure, volume, and flow in a dynamic system which is distensible with variable elastance and capacitance properties. |
| Related Links | https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-020-00142-8.pdf |
| Ending Page | 12 |
| Page Count | 12 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 20470525 |
| DOI | 10.1186/s13741-020-00142-8 |
| Journal | Perioperative Medicine |
| Issue Number | 1 |
| Volume Number | 9 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2020-04-21 |
| Access Restriction | Open |
| Subject Keyword | Intensive Critical Care Medicine Emergency Medicine Surgery Human Physiology Perioperative fluid management Physiology Fluid responsiveness Venous capacitance Goal-directed fluid therapy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
| Journal Impact Factor | 2/2023 |
| 5-Year Journal Impact Factor | 2.6/2023 |
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