並列摘要
Enhanced recovery after surgery (ERAS) is an integrated, interdisciplinary and multi-modal care. From identification of the patient risks and optimization of pre-existing health condition, careful perioperative care and ensuring full recovery are important to reduce perioperative complications and shorten hospital stay decreased medical cost. To achieve maintenance of euvolemia, applying perioperative near zero fluid balance. Principles and meticulous perioperative hemodynamic management are helpful. It should prevent prolonged pre-operative fasting time. In major operations, high risk patients and the patients with large intravascular fluid loss, including blood loss and protein/fluid shift, goal-directed fluid therapy (GDFT) is recommended by using dynamic parameters with minimal invasive cardiac output monitor. It could optimize individual patient's perioperative volume status and improve tissue perfusion. In postoperative period, early oral intake is encouraged and routine intravenous fluids should be discontinued if oral intake is tolerated. We could reduce perioperative complications and enhance recovery.
被引用紀錄
延伸閱讀
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