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Curr Opin Anaesthesiol · Feb 2022
ReviewShould fluid management in thoracic surgery be goal directed?
- Mert Şentürk, Emre Sertaç Bingül, and Özlem Turhan.
- Istanbul University, Istanbul Medical Faculty, Department of Anesthesiology and Reanimation, Istanbul, Turkey.
- Curr Opin Anaesthesiol. 2022 Feb 1; 35 (1): 899589-95.
Purpose Of ReviewTo find a reliable answer to the question in the title: Should fluid management in thoracic surgery be goal directed?Recent Findings'Moderate' fluid regimen is the current recommendation of fluid management in thoracic anesthesia, however, especially in more risky patients; 'Goal-Directed Therapy' (GDT) can be a more reliable approach than just 'moderate'. There are numerous studies examining its effects in general anesthesia; albeit mostly retrospective and very heterogenic. There are few studies of GDT in thoracic anesthesia with similar drawbacks.SummaryAlthough the evidence level is low, GDT is generally associated with fewer postoperative complications. It can be helpful in decision-making for volume-optimization, timing of fluid administration, and indication of vasoactive agents.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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