such variability is that evidence regarding best fluid management with
respect to clinically important outcomes is limited and of low quality,
says anesthesiologist Girish P. Joshi, MB, BS, MD, FFARCSI, of the
department of anesthesiology and pain management at the University
of Texas Southwestern Medical Center in Dallas, Texas.
What's the optimal perioperative fluid management strategy? One
study found that both "goal-directed" fluid therapy and liberal use of
fluid without using hemodynamic goals used a large amount of peri-
operative fluid, but the perioperative outcomes after such therapies
differed significantly, favoring the use of specific hemodynamic
goals to titrate fluid therapy. Some researchers say moderation
might be the wisest course — that restraint in fluid administration
correlates with better outcomes. OSM
E-mail doconnor@outpatientsurgery.net.
8 5
N O V E M B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T
You want a fluid management
system that provides real-time fluid
deficit monitoring by measuring
fluid inflow against collected fluid.
Mary
C.
Wilson,
BSN,
RN,
CNOR
