围手术期成人患者使用液体疗法:叙述性综述。

M J Colomina, P Galán Menéndez, J Ripollés-Melchor
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引用次数: 0

摘要

静脉输液是围手术期住院患者和重症监护病房最常见的干预措施。本综述旨在概述成年患者围手术期液体治疗的平衡解决方案,并回顾液体治疗的新趋势和解决方案。证据分为三个方面:术中输液、重症患者输液以及平衡晶体液的重要性/益处。尽管近年来发表了许多高质量的研究报告,但有关液体类型、剂量和给药速度的科学证据仍然有限。围术期液体疗法的选择必须根据患者的具体因素、手术性质、预期液体流失量以及其他相关因素来确定。最后,最重要的是要有更可靠的临床证据和对医生的培训。
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Use of fluid therapy in perioperative adult patients: A narrative review.

The administration of intravenous fluids is the most common intervention in hospitalised patients in the perioperative setting and critical care units. The aim of this narrative review is to provide an overview of balanced solutions for fluid therapy in the perioperative period in adult patients, and to review new trends and solutions in fluid therapy. The evidence was grouped into 3 areas: intraoperative fluid administration, fluid administration in critically ill patients, and the importance / benefit of balanced crystalloid solutions. Although a number of high-quality studies have been published in recent years, the scientific evidence regarding the type of fluid, the dose, and rate of administration is still limited. The choice of fluid therapy during the perioperative period must be tailored to patient-specific factors, the nature of the surgery, expected fluid loss, and other relevant factors. Finally, more robust clinical evidence and physician training is of the utmost importance.

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