Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11378
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dc.contributor.authorGlassford, Neil Jen
dc.contributor.authorMyles, Paul Sen
dc.contributor.authorBellomo, Rinaldoen
dc.date.accessioned2015-05-16T00:58:06Z
dc.date.available2015-05-16T00:58:06Z
dc.date.issued2012-02-01en
dc.identifier.citationCurrent Opinion in Anaesthesiology; 25(1): 102-10en
dc.identifier.govdoc22113185en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11378en
dc.description.abstractThe 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.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.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
dc.language.isoenen
dc.subject.otherAustraliaen
dc.subject.otherFluid Therapy.methodsen
dc.subject.otherHemodynamicsen
dc.subject.otherHumansen
dc.subject.otherPerioperative Care.methodsen
dc.subject.otherWater-Electrolyte Balanceen
dc.titleThe Australian approach to peri-operative fluid balance.en
dc.typeJournal Articleen_US
dc.identifier.journaltitleCurrent opinion in anaesthesiologyen
dc.identifier.affiliationDepartment of Intensive Care Medicine, Austin Hospital, Australiaen
dc.identifier.doi10.1097/ACO.0b013e32834decd7en
dc.description.pages102-10en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/22113185en
dc.type.contentAudioen_US
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
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