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• W2624930644 abstract "Optimal perioperative fluid management is an important component of Enhanced Recovery After Surgery (ERAS) pathways. Fluid management within ERAS should be viewed as a continuum through the preoperative, intraoperative, and postoperative phases. Each phase is important for improving patient outcomes, and suboptimal care in one phase can undermine best practice within the rest of the ERAS pathway. The goal of preoperative fluid management is for the patient to arrive in the operating room in a hydrated and euvolemic state. To achieve this, prolonged fasting is not recommended, and routine mechanical bowel preparation should be avoided. Patients should be encouraged to ingest a clear carbohydrate drink two to three hours before surgery. The goals of intraoperative fluid management are to maintain central euvolemia and to avoid excess salt and water. To achieve this, patients undergoing surgery within an enhanced recovery protocol should have an individualized fluid management plan. As part of this plan, excess crystalloid should be avoided in all patients. For low-risk patients undergoing low-risk surgery, a ''zero-balance'' approach might be sufficient. In addition, for most patients undergoing major surgery, individualized" @default.
• W2624930644 created "2017-06-23" @default.
• W2624930644 creator A5002109719 @default.
• W2624930644 creator A5016371271 @default.
• W2624930644 creator A5029287147 @default.
• W2624930644 date "2015-01-01" @default.
• W2624930644 modified "2023-10-01" @default.
• W2624930644 title "Fluid management and goal-directed therapy as an adjunct to Enhanced Recovery After Surgery (ERAS) Gestion des liquides et traitement cibleen annexe de la Recuperation rapide apres la chirurgie (RRAC)" @default.
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• W2624930644 hasPublicationYear "2015" @default.
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