Research progress of perioperative fluid therapy on the guidance of ERAS
10.3760/cma.j.cn115396-20200921-00287
- VernacularTitle:ERAS理念指导下围术期液体治疗的研究进展
- Author:
Yan HE
;
Jianyou ZHANG
;
Jianhong SUN
- From:
International Journal of Surgery
2021;48(1):67-72
- CountryChina
- Language:Chinese
-
Abstract:
Enhanced recovery after surgery (ERAS)is a new concept of accelerating the recovery of patients through a series of multi-mode strategies based on evidence-based medicine date in perioperative period. The perioperative fluid therapy is an important part of ERAS, including three phases of preoperative、intraoperative and postoperative. Its aim is to maintain the circulation volume to ensure circulation stability and effective perfusion of tissues, to avoid tissue ischemia and hypoxia, and to reduce surgical stress, maintain internal environment stability, reduce postoperative respiratory and circulatory complications, thus accelerating recovery. Fluid therapy has been controversial, Goal-directed Fluid Therapy is a recognized method.This article reviews the latest advances in preoperative, intraoperative and postoperative fluid therapy on the guidance of ERAS and its influence on postoperative outcomes.