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Open Access 01-12-2016 | Consensus statement

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery

Authors: Robert H. Thiele, Karthik Raghunathan, C. S. Brudney, Dileep N. Lobo, Daniel Martin, Anthony Senagore, Maxime Cannesson, Tong Joo Gan, Michael Monty G. Mythen, Andrew D. Shaw, Timothy E. Miller, For the Perioperative Quality Initiative (POQI) I Workgroup

Published in: Perioperative Medicine | Issue 1/2016

Abstract

Background

Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence to support enhanced recovery pathways (ERPs) is strong in patients undergoing colorectal surgery. There is some controversy about the adoption of specific elements in enhanced recovery “bundles” because the relative importance of different components of ERPs is hard to discern (a consequence of multiple simultaneous changes in clinical practice when ERPs are initiated). There is evidence that specific approaches to fluid management are better than alternatives in patients undergoing colorectal surgery; however, several specific questions remain.

Methods

In the “Perioperative Quality Initiative (POQI) Fluids” workgroup, we developed a framework broadly applicable to the perioperative management of intravenous fluid therapy in patients undergoing elective colorectal surgery within an ERP.

Discussion

We discussed aspects of ERPs that impact fluid management and made recommendations or suggestions on topics such as bowel preparation; preoperative oral hydration; intraoperative fluid therapy with and without devices for goal-directed fluid therapy; and type of fluid.

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Title: American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery
Authors: Robert H. Thiele
Karthik Raghunathan
C. S. Brudney
Dileep N. Lobo
Daniel Martin
Anthony Senagore
Maxime Cannesson
Tong Joo Gan
Michael Monty G. Mythen
Andrew D. Shaw
Timothy E. Miller
For the Perioperative Quality Initiative (POQI) I Workgroup
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Perioperative Medicine / Issue 1/2016
Electronic ISSN: 2047-0525
DOI: https://doi.org/10.1186/s13741-016-0049-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery

Abstract

Background

Methods

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

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