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Intraoperative fluid management

Optimise fluid administration with advanced haemodynamic parameters

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Fluid Management banner image
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References

  1. Miller TE, Mythen M, Shaw AD, Hwang S, Shenoy AV, Bershad M, et al. Association between perioperative fluid management and patient outcomes: a multicentre retrospective study. Br J Anaesth. 2021 Mar;126(3):720-729.
  2. Ariyarathna D, Bhonsle A, Nim J, Huang CKL, Wong GH, Sim N, et al. Intraoperative vasopressor use and early postoperative acute kidney injury in elderly patients undergoing elective noncardiac surgery. Ren Fail. 2022 Dec;44(1):648-659.
  3. Myles PS, Bellomo R, Corcoran T, Forbes A, Peyton P, Story D, et al. Restrictive versus liberal fluid therapy for major abdominal surgery. N Engl J Med. 2018 Jun 14;378(24):2263-2274.
  4. Thacker JK, Mountford WK, Ernst FR, Krukas MR, Mythen MM. Perioperative fluid utilization variability and association with outcomes: considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016 Mar;263(3):502-10.
  5. Martin GS, Kaufman DA, Marik PE, Shapiro NI, Levett DZH, Whittle J, et al. Perioperative Quality Initiative (POQI) consensus statement on fundamental concepts in perioperative fluid management: fluid responsiveness and venous capacitance. Perioper Med (Lond). 2020 Apr 21;9:12.
  6. Giglio MT, Marucci M, Testini M, Brienza N. Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials. Br J Anaesth. 2009 Nov;103(5):637-46.
  7. Johnson A, Ahrens T. Stroke volume optimization: the new hemodynamic algorithm. Crit Care Nurse. 2015 Feb;35(1):11-27.
  8. O'Leary MJ, Bihari DJ. Preventing renal failure in the critically ill. There are no magic bullets-just high quality intensive care. BMJ. 2001 Jun 16;322(7300):1437-9.
  9. Cannesson M. Arterial pressure variation and goal-directed fluid therapy. J Cardiothorac Vasc Anesth. 2010 Jun;24(3):487-97.
  10. Bellamy MC. Wet, dry or something else? Br J Anaesth. 2006 Dec;97(6):755-7.
  11. Holte K. Pathophysiology and clinical implications of perioperative fluid management in elective surgery. Dan Med Bull. 2010 Jul;57(7):B4156.
  12. Wang P, Wang HW, Zhong TD. Effect of stroke volume variability- guided intraoperative fluid restriction on gastrointestinal functional recovery. Hepatogastroenterology. 2012 Nov-Dec;59(120):2457-60.
  13. Durairaj L, Schmidt GA. Fluid therapy in resuscitated sepsis: less is more. Chest. 2008 Jan;133(1):252-63.
  14. Lilot M, Ehrenfeld JM, Harrington B, Cannesson M, Rinehart J. Variability in practice and factors predictive of total crystalloid administration during abdominal surgery: retrospective two-centre analysis. Br J Anaesth. 2015 May;114:767-76.
  15. Joosten A, Hafiane R, Pustetto M, Van Obbergh L, Quackels T, Buggenhout A, et al. Practical impact of a decision support for goal-directed fluid therapy on protocol adherence: a clinical implementation study in patients undergoing major abdominal surgery. J Clin Monit Comput. 2019 Feb;33(1):15-24.
  16. Flick M, Joosten A, Scheeren T, Duranteau J, Saugel B. Haemodynamic monitoring and management in patients having noncardiac surgery. Eur J Anaesthesiol. 2023;2(1):e0017.
  17. Maheshwari K, Malhotra G, Bao X, Lahsaei P, Hand WR, Fleming NW, et al. Assisted fluid management software guidance for intraoperative fluid administration. Anesthesiology. 2021 Aug 1;135(2):273-283.

Medical device for professional use

For a listing of indications, contraindications, precautions, warnings, and potential adverse events, please refer to the Instructions for Use (consult eifu.edwards.com where applicable).