Perioperative fluid therapy in adults

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The purpose of the updated guidelines is to provide specialists, primarily, anesthesiologists and intensive care physicians with modern evidence-based approaches to the practical implementation and optimization of perioperative fluid therapy. In the preparation of the current document, the high quality scientific studies, systematic reviews, meta-analyses, and the latest recommendations of the American Society of Anesthesiologists (ASA), the Association of Anesthesiologists of Great Britain and Ireland (AAGBI), the European Society of Anesthesiology and Intensive Care (ESAIC), Surviving Sepsis Campaign, and the European Society of Intensive Care Medicine (ESICM) as well as other leading professional communities have been analyzed, localized and implemented. In the current guidelines, various aspects of preoperative preparation, monitoring of the effectiveness and safety of fluid therapy, perioperative infusion therapy, including the choice of crystalloids and colloids, as well as postoperative patient management, are reviewed and accompanied by comments. The criteria on the quality of medical care are presented.

Keywords:

acidosis

water-electrolyte balance

hypovolemia

dehydration

glucose

fluid therapy

acid-base equilibrium

crystalloid solutions

colloids

hemorrhage

lactic acid

microcirculation

preoperative period

perioperative period

postoperative period

sepsis

cardiac output

shock

Authors:

Bobovnik S.V.

Northern State Medical University under the Ministry of Health of the Russian Federation

Gorobets E.S.

N. N. Blokhin Russian Federationn Cancer Research Center under the Ministry of Health of the Russian Federation

ORCID: 0000-0002-9311-2153

Zabolotskikh I.B.

Kuban State Medical University

SPIN RSCI: 5142-1661
Scopus AuthorID: 6508104506
ResearcherID: O-2705-2014
ORCID: 0000-0002-3623-2546

Kirov M.Yu.

Northern State Medical University

SPIN RSCI: 2025-8162
Scopus AuthorID: 7004841942
ORCID: 0000-0002-4375-3374

Kokhno V.N.

Novosibirsk State Medical University under the Ministry of Health of the Russian Federation

Kuzkov V.V.

Severodvinsk City Clinical Hospital No. 2;
Northern State Medical University

SPIN RSCI: 6813-2450
Scopus AuthorID: 56110093000
ResearcherID: R-6331-2016
ORCID: 0000-0002-8191-1185

Lebedinskii K.M.

North-Western State Medical University n.a. Mechnikov, Federal Research;
Clinical Center of Intensive Care Medicine and Rehabilitology

SPIN RSCI: 3590-2308
Scopus AuthorID: 6602775085
ResearcherID: O-8655-2014
ORCID: 0000-0002-5752-4812

Lomivorotov V.V.

Meshalkin National Medical Research Center;
Novosibirsk State University

ORCID: 0000-0001-8591-6461

Lubnin A.Yu.

Burdenko Neurosurgical Center

RSCI AuthorID: 370609
Scopus AuthorID: 57192157123
ORCID: 0000-0003-2595-5877

Moroz G.B.

E. N. Meshalkin National Medical Research Center under the Ministry of Health of the Russian Federation

Musaeva T.S.

Kuban State Medical University;
Regional Clinical Hospital

Neymark M.I.

Altai State Medical University

ORCID: 0000-0001-9135-6392

Shchegolev A.V.

Kirov Military Medical Academy

SPIN RSCI: 4107-6860
Scopus AuthorID: 7003338841
ResearcherID: J-4326-2013
ORCID: 0000-0001-6431-439X

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