A close look at postoperative fluid management and electrolyte disorders after gastrointestinal surgery in a teaching hospital where patients are treated according to the ERAS protocol

Boersema, Geesien S. A.; Laan, Lijckle van der; Wijsman, Jan H.

doi:10.1007/s00595-013-0794-z

Cited by 20 publications

(15 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several methods of managing postoperative ileus (POI) in patients with colon cancer, such as no insertion of a nasogastric tube, epidural analgesia, oral magnesium oxide, and laparoscopic surgery, have been advocated [14][15][16][17]. Fluid management is also important for patients undergoing major gastrointestinal surgery [18]. LVR should be even less invasive surgery than laparoscopy-assisted colon resection, because it is a non-resectional technique and may reduce the stress response, leading to less POI.…”

Section: Discussionmentioning

confidence: 98%

Recovery of gastric ileus following laparoscopic ventral rectopexy within an enhanced recovery protocol

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Recovery of gastric ileus following laparoscopic ventral rectopexy within an enhanced recovery protocol

et al. 2015

View full text Add to dashboard Cite

show abstract

“…[20] A previous study recommended prophylactic potassium administration for patients scheduled for gastrointestinal surgery. [21] Potassium can be administrated intravenously or orally. Intravenous potassium is suitable for severe hypokalemia and must be monitored under electrocardiography.…”

Section: Discussionmentioning

confidence: 99%

Effects of preoperative oral carbohydrate electrolyte drinks on preoperative hypokalemia incidence in patients scheduled for laparoscopic colorectal resection: a randomized clinical trial

Tan

Deng

et al. 2020

Preprint

View full text Add to dashboard Cite

Background:In our previous study, hypokalemia incidence was high in patients scheduled for laparoscopic colorectal resection. The present trial was conducted to verify the effects of preoperative carbohydrate drinks containing potassium in these patients. Methods: Patients were randomly assigned to control, placebo, and case groups. In control group, patients were fasted from midnight. In placebo group, patients were fasted from midnight and received carbohydrate drinks 2–3 h before surgery. In case group, patients were fasted from midnight and received carbohydrate drinks containing potassium supplementation 2–3 h before surgery. The primary outcome was the incidence and severity of preoperative hypokalemia. The other outcomes included postoperative gastrointestinal function, including the time to postoperative first flatus (FFL) and first feces (FFE) and other complications. Results: The final analysis included 122 participants. The incidence of preoperative hypokalemia in case group was significantly lower than that in control and placebo groups (50% vs. 88.1% vs. 77.5%, p < 0.001). The severity of hypokalemia in control and placebo groups was greater than that in case group. No regurgitation or aspiration occurred in the three groups. No significant differences were observed among the three groups regarding time to FFL and FFE. Conclusions: Preoperative carbohydrate drinks containing potassium may have significantly reduced the incidence of preoperative hypokalemia and improved preoperative thirst and hunger, but did not improve postoperative well-being. However, as part of the enhanced recovery after surgery protocol, preoperative carbohydrate drinks containing potassium should be recommended, as early as first admittance to hospital.

show abstract

“…73,74 One study of patients' fluid balance postoperatively under use of an ERAS protocol revealed no clinically significant fluid overload or electrolyte disturbances. 75 Careful monitoring of fluid status should be continued in the postoperative period to maintain fluid balance.…”

Section: Maintenance Fluidsmentioning

confidence: 99%

Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway

Zhu

Agarwala

Bao

2019

Clinics in Colon and Rectal Surgery

View full text Add to dashboard Cite

Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase of the perioperative period. Preoperatively, patients should be encouraged to hydrate until 2 hours prior to the induction of anesthesia with a carbohydrate-containing clear liquid. When mechanical bowel preparation is necessary, with modern isoosmotic solutions, fluid repletion is not necessary. Intraoperatively, fluid therapy should aim to maintain euvolemia with an individualized approach. While some patients may benefit from goal-directed fluid therapy, a restrictive, zero-balance approach to intraoperative fluid management may be reasonable. Postoperatively, early initiation of oral intake and cessation of intravenous therapy are recommended.

show abstract

A close look at postoperative fluid management and electrolyte disorders after gastrointestinal surgery in a teaching hospital where patients are treated according to the ERAS protocol

Cited by 20 publications

References 12 publications

Recovery of gastric ileus following laparoscopic ventral rectopexy within an enhanced recovery protocol

Recovery of gastric ileus following laparoscopic ventral rectopexy within an enhanced recovery protocol

Effects of preoperative oral carbohydrate electrolyte drinks on preoperative hypokalemia incidence in patients scheduled for laparoscopic colorectal resection: a randomized clinical trial

Perioperative Fluid Management in the Enhanced Recovery after Surgery (ERAS) Pathway

Contact Info

Product

Resources

About