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Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols
Perioperative fluid management, a critical aspect of major surgeries, is characterized by pronounced stress responses, altered capillary permeability, and significant fluid shifts. Recognized as a cornerstone of enhanced recovery protocols, effective perioperative fluid management is crucial for opt...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531658/ https://www.ncbi.nlm.nih.gov/pubmed/37762871 http://dx.doi.org/10.3390/jcm12185930 |
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author | Lorente, Juan V. Hahn, Robert G. Jover, José L. Del Cojo, Enrique Hervías, Mónica Jiménez, Ignacio Uña, Rafael Clau-Terré, Fernando Monge, Manuel I. Llau, Juan V. Colomina, Maria J. Ripollés-Melchor, Javier |
author_facet | Lorente, Juan V. Hahn, Robert G. Jover, José L. Del Cojo, Enrique Hervías, Mónica Jiménez, Ignacio Uña, Rafael Clau-Terré, Fernando Monge, Manuel I. Llau, Juan V. Colomina, Maria J. Ripollés-Melchor, Javier |
author_sort | Lorente, Juan V. |
collection | PubMed |
description | Perioperative fluid management, a critical aspect of major surgeries, is characterized by pronounced stress responses, altered capillary permeability, and significant fluid shifts. Recognized as a cornerstone of enhanced recovery protocols, effective perioperative fluid management is crucial for optimizing patient recovery and preventing postoperative complications, especially in high-risk patients. The scientific literature has extensively investigated various fluid infusion regimens, but recent publications indicate that not only the volume but also the type of fluid infused significantly influences surgical outcomes. Adequate fluid therapy prescription requires a thorough understanding of the physiological and biochemical principles that govern the body’s internal environment and the potential perioperative alterations that may arise. Recently published clinical trials have questioned the safety of synthetic colloids, widely used in the surgical field. A new clinical scenario has arisen in which crystalloids could play a pivotal role in perioperative fluid therapy. This review aims to offer evidence-based clinical principles for prescribing fluid therapy tailored to the patient’s physiology during the perioperative period. The approach combines these principles with current recommendations for enhanced recovery programs for surgical patients, grounded in physiological and biochemical principles. |
format | Online Article Text |
id | pubmed-10531658 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105316582023-09-28 Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols Lorente, Juan V. Hahn, Robert G. Jover, José L. Del Cojo, Enrique Hervías, Mónica Jiménez, Ignacio Uña, Rafael Clau-Terré, Fernando Monge, Manuel I. Llau, Juan V. Colomina, Maria J. Ripollés-Melchor, Javier J Clin Med Review Perioperative fluid management, a critical aspect of major surgeries, is characterized by pronounced stress responses, altered capillary permeability, and significant fluid shifts. Recognized as a cornerstone of enhanced recovery protocols, effective perioperative fluid management is crucial for optimizing patient recovery and preventing postoperative complications, especially in high-risk patients. The scientific literature has extensively investigated various fluid infusion regimens, but recent publications indicate that not only the volume but also the type of fluid infused significantly influences surgical outcomes. Adequate fluid therapy prescription requires a thorough understanding of the physiological and biochemical principles that govern the body’s internal environment and the potential perioperative alterations that may arise. Recently published clinical trials have questioned the safety of synthetic colloids, widely used in the surgical field. A new clinical scenario has arisen in which crystalloids could play a pivotal role in perioperative fluid therapy. This review aims to offer evidence-based clinical principles for prescribing fluid therapy tailored to the patient’s physiology during the perioperative period. The approach combines these principles with current recommendations for enhanced recovery programs for surgical patients, grounded in physiological and biochemical principles. MDPI 2023-09-12 /pmc/articles/PMC10531658/ /pubmed/37762871 http://dx.doi.org/10.3390/jcm12185930 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Lorente, Juan V. Hahn, Robert G. Jover, José L. Del Cojo, Enrique Hervías, Mónica Jiménez, Ignacio Uña, Rafael Clau-Terré, Fernando Monge, Manuel I. Llau, Juan V. Colomina, Maria J. Ripollés-Melchor, Javier Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title | Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title_full | Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title_fullStr | Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title_full_unstemmed | Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title_short | Role of Crystalloids in the Perioperative Setting: From Basics to Clinical Applications and Enhanced Recovery Protocols |
title_sort | role of crystalloids in the perioperative setting: from basics to clinical applications and enhanced recovery protocols |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531658/ https://www.ncbi.nlm.nih.gov/pubmed/37762871 http://dx.doi.org/10.3390/jcm12185930 |
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