article Open Access (gold) EN 2016-09-17

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery

Abstract

BACKGROUND: Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence to support enhanced recovery pathways (ERPs) is strong in patients undergoing colorectal surgery. There is some controversy about the adoption of specific elements in enhanced recovery "bundles" because the relative importance of different components of ERPs is hard to discern (a consequence of multiple simultaneous changes in clinical practice when ERPs are initiated). There is evidence that specific approaches to fluid management are better than alternatives in patients undergoing colorectal surgery; however, several specific questions remain. METHODS: In the "Perioperative Quality Initiative (POQI) Fluids" workgroup, we developed a framework broadly applicable to the perioperative management of intravenous fluid therapy in patients undergoing elective colorectal surgery within an ERP. DISCUSSION: We discussed aspects of ERPs that impact fluid management and made recommendations or suggestions on topics such as bowel preparation; preoperative oral hydration; intraoperative fluid therapy with and without devices for goal-directed fluid therapy; and type of fluid.

Topics

Hemodynamic Monitoring and Therapy 0.52 Enhanced Recovery After Surgery 0.46 Nausea and vomiting management 0.00

Field: Medicine · Subfield: Surgery

Keywords

Perioperative,Medicine,Quality (philosophy),Surgery

UN Sustainable Development Goals

  • Partnerships for the goals (0.43)

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Citations by Year

2026202520242023202220212020201920182017
1481320161729332721
24.72
FWCI
100%
Normalized Pctile
117
References
12
Authors

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