Perioperative goal-directed fluid therapy (GDFT) is a prime component of the Enhanced Recovery After Surgery (ERAS) protocol. Multiple studies have demon¬strated a relationship between GDFT and positive patient outcomes, including shorter hospital stays, decreased ileus formation, reduced gastrointestinal-related issues, decreased nausea, and hemodynamic stability. Electro¬lyte disturbances following a positive fluid balance may occur, and GDFT is aimed at euvolemia to avoid a hyper¬volemic state. Carbohydrate loading, early discontinua¬tion of postoperative intravenous fluids, and use of iso-osmotic solutions all are components of GDFT. Lactated Ringer’s solution is the fluid recommended for nonrenal patients and patients with hepatic compromise. The negative consequences associated with hypervolemia deem it pertinent to devise an individualized GDFT plan in the ERAS protocol.
Learning Outcome(s):
- Describe the primary factors related to Goal Directed Fluid Therapy utilized in an ERAS protocol to improve patient outcomes.
This program has been prior approved by the American Association of Nurse Anesthesiology for 1.00 Class A CE credits; Code Number 1040945; Expiration Date 8/5/2024.