american society for enhanced recovery (aser) and perioperative quality initiative (poqi) joint consensus statement on perioperative fluid management within an enhanced recovery pat..文档文档.pdf

Thiele et al. Perioperative Medicine (2016) 5:24 DOI 10.1186/s13741-016-0049-9 CONSENSUS STATEMENT Open Access American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on perioperative fluid management within an enhanced recovery pathway for colorectal surgery 1 2 3 4 5,6 7 Robert H. Thiele , Karthik Raghunathan , C. S. Brudney , Dileep N. Lobo , Daniel Martin , Anthony Senagore , Maxime Cannesson8 9 10 11 12* , Tong Joo Gan , Michael Monty G. Mythen , Andrew D. Shaw , Timothy E. Miller and For the Perioperative Quality Initiative (POQI) I Workgroup Abstract Background: Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence to support enhanced recovery pathways (ERPs) is strong in patients undergoing colorectal surgery. There is some controversy about the adoption of specific elements in enhanced recovery “bundles” because the relative importance of different components of ERPs is hard to discern (a consequence of multiple simultaneous changes in clinical practice when ERPs are initiated). There is evidence that specific approaches to fluid management are better than alternatives in patients undergoing colorectal surgery; however, several specific questions remain. Methods: In the “Perioperative Quality Initiative (POQI) Fluids” workgroup, we developed a framework broadly applicable to the pe