What is goal directed fluid management?

Goal-directed therapy (GDT) utilizes monitoring techniques to help guide clinicians with administering fluids, vasopressors, inotropes, or other treatments to patients in various clinical settings. Multiple studies have investigated the potential benefits of GDT, but no consensus on the use of GDT exists.

How do you calculate intraoperative fluid requirements?

Simply multiply the maintenance fluid requirements (cc/hr) times the amount of time since the patient took PO intake. Estimated maintenance requirements follow the 4/2/1 rule: 4 cc/kg/hr for the first 10 kg, 2 cc/kg/hr for the second 10 kg, and 1 cc/kg/hr for every kg above 20.

What is directed therapy?

Directed therapy refers to the treatment of infections based on specific knowledge of what the causal agent is able to be treated with.

What IV fluid is best for surgery?

We suggest the use of balanced electrolyte solutions (eg, Ringer’s lactate, Plasmalyte), rather than normal saline or colloid as the standard intravenous fluid to maintain or replace intravascular volume in surgical patients (Grade 2C).

What are the different types of goal directed fluid therapy?

Goal-directed fluid therapy (GDT), enhanced recovery programs (ERPs), and the perioperative surgical home (PSH) are three related approaches to patient care that have emerged to provide optimal outcomes for patients undergoing surgery.

How does goal directed therapy ( GDT ) work?

Goal-directed therapy (GDT) utilizes monitoring techniques to help guide clinicians with administering fluids, vasopressors, inotropes, or other treatments to patients in various clinical settings.

Why are goal directed fluid therapy and perioperative pain management important?

Goal-directed fluid therapy (GDT) and perioperative pain management are approaches designed to improve care in the perioperative period. These initiatives, being integral parts of enhanced recovery programs (ERPs), are necessary because of the escalation in healthcare costs and increasing number of patients requiring surgical interventions.