Perioperative Quality Initiative (POQI) consensus statement on fundamental concepts in perioperative fluid management: fluid responsiveness and venous capacitance
Date
2020-04-21Author
Subject
Metadata
Show full item recordAbstract
<jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Optimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>The Perioperative Quality Initiative (POQI-5) consensus conference brought together an international team of multidisciplinary experts to survey and evaluate the literature on the physiology of volume responsiveness and perioperative fluid management. The group used a modified Delphi method to develop consensus statements applicable to the physiologically based management of intravenous fluid therapy in the perioperative setting.</jats:p> </jats:sec><jats:sec> <jats:title>Discussion</jats:title> <jats:p>We discussed the clinical and physiological evidence underlying fluid responsiveness and venous capacitance as relevant factors in fluid management and developed consensus statements with clinical implications for a broad group of clinicians involved in intravenous fluid therapy. Two key concepts emerged as follows: (1) The ultimate goal of fluid therapy and hemodynamic management is to support the conditions that enable normal cellular metabolic function in order to produce optimal patient outcomes, and (2) optimal fluid and hemodynamic management is dependent on an understanding of the relationship between pressure, volume, and flow in a dynamic system which is distensible with variable elastance and capacitance properties.</jats:p> </jats:sec>
Collections
Publisher
Place of Publication
Journal
Volume
Issue
Pagination
Author URL
Number
Recommended, similar items
The following license files are associated with this item:
Related items
Showing items related by title, author, creator and subject.
-
Ward-based Goal-Directed Fluid Therapy (GDFT) in Acute Pancreatitis (GAP) trial: study protocol for a feasibility randomised controlled trial
Froghi, F; Soggiu, F; Ricciardi, F; Gurusamy, K; Martin, DS; Singh, J; Siddique, S; Eastgate, C; Ciaponi, M; McNeil, M; Filipe, H; Schwalowsky-Monks, O; Asis, G; Varcada, M; Davidson, BR (BMJEngland, 2019-10)<jats:sec><jats:title>Introduction</jats:title><jats:p>Acute pancreatitis is an inflammatory disease of the pancreas with high risk of developing multiorgan failure and death. There are no effective pharmacological ... -
CSF rhinorrhoea after endonasal intervention to the skull base (CRANIAL): A multicentre prospective observational study
Khan, DZ; Marcus, HJ; Bandyopadhyay, S; Schroeder, BE; Patel, V; O'Donnell, A; Giamouriadis, A; Bhatt, P; Ram, B; Varma, A; Weir, P; Hanna, B; Hirst, TC; McAleavey, P; Paluzzi, A; Tsermoulas, G; Ahmed, S; Soon, WC; Chowdhury, YA; Abualsaud, S; Mahmood, S; Naik, P; Haiderkhan, Z; Al-Mahfoudh, R; Perera, A; Rus, M; Williams, A; Hand, C; Abhinav, K; Cernei, C; Dilnawaz, A; Mannion, R; Santarius, T; Tysome, J; Sharma, R; Kolias, AG; Donnelly, N; Venkatesh, A; Hayhurst, C; Mohamed, A; Stew, B; Merola, J; Ooi, SZY; Kamel, M; Khan, MH; Abrar, S; Mckeon, C; McSweeney, D; Javadpour, M; Lacy, P; Murray, D; Roman, E; Hossain-Ibrahim, K; Ross, P; Bennett, D; McSorley, N; Hounat, A; Statham, P; Hughes, M; Hamdan, A; Scott, C; Moudgil-Joshi, J; Bahl, A; Bjornson, A; Gatt, D; Phillips, N; Kalra, N; Bautista, M; Shirazi, S; Gilkes, CE; Millward, CP; Ali, AM; Paraskevopoulos, D; Bal, J; Matloob, S; Lobo, R; Mendoza, N; Nair, R; Dalton, A; Nadig, A; Hernandez, L; Thomas, N; Maratos, E; Shapey, J; Al-Barazi, S; Mirza, AB; Okasha, M; Malhotra, PS; Ahmed, R; Dorward, NL; Grieve, J; Sayal, P; Choi, D; Cabrilo, I; Horsfall, HL; Pollock, J; Shoakazemi, A; Maccormac, O; Amirthalingam, GNK; Martin, A; Stapleton, S; Hogg, F; Richardson, D; Gnanalingham, K; Pathmanaban, O; Fountain, DM; Bhalla, R; Hannan, CJ; Chadwick, A; Jenkins, A; Nicholson, C; Shumon, S; Youssef, M; Allison, C; Dow, G; Robertson, I; Glancz, LJ; Sitaraman, M; Kumaria, A; Bagchi, A; Cudlip, S; Halliday, J; Piper, RJ; Boukas, A; Amarouche, M; Veljanoski, D; Muquit, S; Edlmann, E; Maripi, H; Wang, Y; Hossain, M; Alalade, A; Maroof, S; Patkar, P; Sinha, S; Mirza, S; Henderson, D; Khan, MS; Mathad, N; Hempenstall, J; Wang, D; Marwaha, P; Shaw, S; Solomou, G; Shrestha, A; Fraser, A; Hirst, T; Chowdhury, Y; Bilal, S; Wildman, J; Babu, P; Carey, C; Bathuni, RR; Brennan, JN; Trichinopoly, ST; Khan, D; Sobawale, S; Suliman, A; Piper, R; Owen, W; Sartaj, A; Goacher, E; Strachan, E; Solomou, G; Ktayen, H; Consortium, CRANIAL (Frontiers Media SASwitzerland, 2023-01-04)<jats:sec><jats:title>Objective</jats:title><jats:p>Despite progress in endonasal skull-base neurosurgery, cerebrospinal fluid (CSF) rhinorrhoea remains common and significant. The CRANIAL study sought to determine 1) the ... -
Ward based goal directed fluid therapy (GDFT) in acute pancreatitis (GAP) trial: a feasibility randomised controlled trial [ISRCTN 36077283]
Froghi, F; Soggiu, F; Ricciardi, F; Vindrola-Padros, C; Floros, L; Martin, Daniel; Filipe, H; Varcada, M; Gurusamy, K; Bhattacharya, S; Fanshawe, A; Dolcea, B; Mathur, P; Davidson, B (Oxford University PressUnited States, 2021-12-15)Background: Goal-directed fluid therapy (GDFT) reduces complications in patients undergoing major general surgery. There are no reports of cardiac output evaluation being used to optimise the fluid administration for ...