Clinical practice guide for the choice of perioperative volume-restoring fluid in adult patients undergoing non-cardiac surgery.
The present Clinical practice guide responds to the clinical questions about security in the choice of fluid (crystalloid, colloid or hydroxyethyl starch 130) in patients who require volume replacement during perioperative period of non-cardiac surgeries. From the evidence summary, recommendations were made following the GRADE methodology. In this population fluid therapy based on crystalloids is suggested (weak recommendation, low quality evidence). In the events where volume replacement is not reached with crystalloids, the use of synthetic colloids (hydroxyethyl starch 130 or modified fluid gelatin) is suggested instead of 5% albumin (weak recommendation, low quality evidence). The choice and dosage of the colloid should be based in the product characteristics, patient comorbidity and anesthesiologist's experience.
Anestesiología y Reanimación, Hospital Clínic, Barcelona, España. Electronic address: mbasora@clinic.ub.es.
M
M
Basora
Anestesiología y Reanimación, Hospital Universitario Vall d'Hebron, Barcelona, España.
M J
MJ
Colomina
Anestesiología y Reanimación, Hospital Sant Pau, Barcelona, España.
V
V
Moral
Anestesiología y Reanimación, Hospital Universitario Ramón y Cajal, Madrid, España.
M S
MS
Asuero de Lis
Anestesiología y Reanimación, Hospital Universitario del Vinalopó, Elche, Alicante, España.
E
E
Boix
Anestesiología y Reanimación, Hospital Verge dels Lliris, Alcoi, Alicante, España.
J L
JL
Jover
Anestesiología y Reanimación, Hospital Clínico Universitario, Valencia, España.
J V
JV
Llau
Anestesiología y Reanimación, Hospital de Basurto, Bilbao, España.
M P
MP
Rodrigo
Anestesiología y Reanimación, Hospital Universitario Infanta Leonor, Madrid, España.
J
J
Ripollés
Anestesiología y Reanimación, Hospital Universitario Infanta Leonor, Universidad Complutense, Madrid, España.
J M
JM
Calvo Vecino
D000328:Adult; D003102:Colloids / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000627:therapeutic use; D019990:Perioperative Care
D003102:Colloids; D006895:Hydroxyethyl Starch Derivatives
Cirugía; Clinical practice guide; Colloids; Coloides; Fluid therapy; Fluidoterapia; Guía de práctica clínica; Periodo perioperatorio; Perioperative period; Surgery