Fluid therapy is an integral component of perioperative management. In light of emerging evidence in this area, the Perioperative Quality Initiative (POQI) convened an international multiprofessional expert meeting to generate evidence-based consensus recommendations for fluid management in patients undergoing surgery. This article provides a summary of the recommendations for perioperative fluid management of surgical patients from the preoperative period until hospital discharge and for all types of elective and emergency surgery, apart from burn injuries and head and neck surgery. Where evidence was lacking, recommendations for future research were generated. Specific recommendations are made for fluid management in elective major noncardiac surgery, cardiopulmonary bypass, thoracic surgery, neurosurgery, minor noncardiac surgery under general anaesthesia, and critical illness. There are ongoing gaps in knowledge resulting in variation in practice and some disagreement with our consensus recommendations. Perioperative fluid management should be individualised, taking into account the type of surgery and important patient factors, including intravascular volume status and acute and chronic comorbidities. Recommendations are made for further research in perioperative fluid management to address important gaps.

中文翻译：

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围手术期液体管理：来自国际多学科围手术期质量倡议的循证共识建议


液体治疗是围手术期管理不可或缺的组成部分。鉴于该领域新出现的证据，围手术期质量倡议 （POQI） 召集了一次国际多专业专家会议，为接受手术的患者的液体管理提出基于证据的共识建议。本文总结了手术患者从术前到出院的围手术期液体管理以及除烧伤和头颈部手术外的所有类型择期和急诊手术的建议。在缺乏证据的地方，为未来的研究提出了建议。对择期非心脏大手术、体外循环手术、胸外科手术、神经外科、全身麻醉下小型非心脏手术和危重症的液体管理提出了具体建议。知识方面存在持续的差距，导致实践存在差异，并且与我们的共识建议存在一些分歧。围手术期液体管理应个体化，同时考虑手术类型和重要的患者因素，包括血管内容量状态以及急性和慢性合并症。建议进一步研究围手术期液体管理，以解决重要差距。