Perioperative fluid management in major hepatic resection: an integrative review

BACKGROUND: Fluid intervention and vasoactive pharmacological support during hepatic resection depend on the preference of the attending clinician, institutional resources,and practice culture. Evidence-based recommendations to guide perioperative fluid management are currently limited.Therefore, we...

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Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international 2017-10, Vol.16 (5), p.458-469
Main Authors: Yoshino, Osamu, Perini, Marcos Vinicius, Christophi, Christopher, Weinberg, Laurence
Format: Article
Language:English
Subjects:
anesthesia
Anesthesia - methods
Blood Loss, Surgical
Clinical Trials as Topic
colloid
Colloids
crystalloid
Fluid Therapy
goal-directed therapy
Hemodynamics
Hepatectomy
hepatic
hepatic resection
Humans
liver resection
Perioperative Care
resection
fluid
resection
liver
therapy
therapy
anesthesia
crystalloid
colloid
goal-directed
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Summary:BACKGROUND: Fluid intervention and vasoactive pharmacological support during hepatic resection depend on the preference of the attending clinician, institutional resources,and practice culture. Evidence-based recommendations to guide perioperative fluid management are currently limited.Therefore, we provide a contemporary clinical integrative overview of the fundamental principles underpinning fluid intervention and hemodynamic optimization for adult patients undergoing major hepatic resection.DATA SOURCES: A literature review was performed of MEDLINE,EMBASE and the Cochrane Central Registry of Controlled Trials using the terms “surgery”, “anesthesia”, “starch”,“hydroxyethyl starch derivatives”, “albumin”, “gelatin”, “liver resection”,“hepatic resection”, “fluids”, “fluid therapy”, “crystalloid”,“colloid”, “saline”, “plasma-Lyte”, “plasmalyte”, “hartmann’s”, “acetate”,and “lactate”. Search results for MEDLINE and EMBASE were additionally limited to studies on human populations that included adult age groups and publications in English.
ISSN:1499-3872
DOI:10.1016/S1499-3872(17)60055-9