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Management of perioperative volume therapy ? monitoring and pitfalls

대한마취과학회지 2020년 73권 2호 p.103 ~ 113
Sander Michael, Schneck Emmanuel, Habicher Marit,
소속 상세정보
 ( Sander Michael ) - Justus-Liebig University Giessen University Hospital Giessen Department of Anesthesiology, Intensive Care Medicine and Pain Therapy
 ( Schneck Emmanuel ) - Justus-Liebig University Giessen University Hospital Giessen Department of Anesthesiology, Intensive Care Medicine and Pain Therapy
 ( Habicher Marit ) - Justus-Liebig University Giessen University Hospital Giessen Department of Anesthesiology, Intensive Care Medicine and Pain Therapy

Abstract


Over 300 million surgical procedures are performed every year worldwide. Anesthesiologists play an important role in the perioperative process by assessing the overall risk of surgery and aim to reduce the risk of complications. Perioperative hemodynamic and volume management can help to improve outcomes in perioperative patients. There has been ongoing discussion about goal-directed therapy. However, there is a consensus that fluid overload and severe fluid depletion in the perioperative period are harmful and can lead to adverse outcomes. This article provides an overview of how to evaluate the fluid responsiveness of patients, details which parameters could be used, and what limitations should be noted.

키워드

Cardiac output monitoring; Colloids; Crystalloid solutions; Hemodynamic monitoring; Hypotension; Volume therapy

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