Al-Ghamdi Abdulmohsin A
Department of Anesthesiology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Saudi J Anaesth. 2018 Apr-Jun;12(2):311-317. doi: 10.4103/sja.SJA_689_17.
Currently, there is no consensus about the optimum intraoperative fluid therapy strategy. There is growing body of evidence supports the beneficial effects of adopting "Goal-directed therapy" over either the "liberal" or "restrictive" fluid therapy strategies. In this narrative review, we have presented the evidence to support the optimum strategy for intraoperative therapy. In conclusion, whatever the intravenous fluid replacement strategy used, the anesthesiologist must be prepared to adjust the composition and rate of the fluids administered to provide sufficient intravascular fluid volume for adequate perfusion of vital organs without overwhelming the glycocalyx function with fluid overloads.
目前，关于最佳术中液体治疗策略尚无共识。越来越多的证据支持采用“目标导向治疗”比“自由”或“限制性”液体治疗策略更具益处。在这篇叙述性综述中，我们展示了支持术中治疗最佳策略的证据。总之，无论采用何种静脉补液策略，麻醉医生都必须准备好调整所输注液体的成分和速率，以提供足够的血管内液体量，确保重要器官得到充分灌注，同时避免液体过载对糖萼功能造成过度影响。
