Please use this identifier to cite or link to this item:
https://hdl.handle.net/11055/596
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DC Field | Value | Language |
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dc.contributor.author | Glasford, NJ | en_US |
dc.contributor.author | Myles, PS | en_US |
dc.contributor.author | Bellomo, R | en_US |
dc.date.accessioned | 2018-06-20T03:32:43Z | - |
dc.date.available | 2018-06-20T03:32:43Z | - |
dc.date.issued | 2012-02 | - |
dc.identifier.citation | 25(1):102-10. | en_US |
dc.identifier.uri | http://hdl.handle.net/11055/596 | - |
dc.description.abstract | PURPOSE OF REVIEW: The role of fluid balance as an important contributor to patient morbidity and mortality in the peri-operative period is only now being understood. Numerous studies in disparate populations undergoing different surgeries suggest that. RECENT FINDINGS: There is wide disparity in fluid administration regimen between speciality, country, and clinician. Recent meta-analyses of published studies have shown that restrictive fluid administration strategies may improve patient-centred outcomes when compared to liberal regimens. Current evidence suggests a significant role for fluid accumulation in the development of peri-operative complications. Fluid balance is best achieved using goal-directed techniques. The evidence base is, at present, sub-optimal, with a paucity of level 1 evidence for clinical decision-making. SUMMARY: In the absence of level 1 evidence it is difficult to make firm recommendations about practice, though observational and single-centre data suggest a significant survival advantage may be conferred by the peri-operative administration of fluids to monitored physiological targets only. The Australian approach to peri-operative fluid management is to create level 1 evidence. To this end, the development of a large multicentre randomized controlled trial of peri-operative fluid administration is underway. | en_US |
dc.subject | RELIEF | en_US |
dc.title | The Australian approach to peri-operative fluid balance | en_US |
dc.type | Journal Article | en_US |
dc.type.content | Text | en_US |
dc.identifier.journaltitle | Current Opinion in Anesthesiology | en_US |
dc.identifier.doi | 10.1097/ACO.0b013e32834decd7 | en_US |
dc.description.pubmeduri | https://www.ncbi.nlm.nih.gov/pubmed/22113185 | en_US |
dc.type.studyortrial | Reviews/Systematic Reviews | en_US |
dc.identifier.studyname | NCT01424150: REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) | en_US |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
Appears in Collections: | Scholarly and Clinical |
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