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Review
. 2022 Feb 1;35(1):89-95.
doi: 10.1097/ACO.0000000000001083.

Should fluid management in thoracic surgery be goal directed?

Mert Şentürk  1 , Emre Sertaç Bingül, Özlem Turhan
Affiliations
Review

Should fluid management in thoracic surgery be goal directed?

Mert Şentürk et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: To find a reliable answer to the question in the title: Should fluid management in thoracic surgery be goal directed?

Recent findings: 'Moderate' fluid regimen is the current recommendation of fluid management in thoracic anesthesia, however, especially in more risky patients; 'Goal-Directed Therapy' (GDT) can be a more reliable approach than just 'moderate'. There are numerous studies examining its effects in general anesthesia; albeit mostly retrospective and very heterogenic. There are few studies of GDT in thoracic anesthesia with similar drawbacks.

Summary: Although the evidence level is low, GDT is generally associated with fewer postoperative complications. It can be helpful in decision-making for volume-optimization, timing of fluid administration, and indication of vasoactive agents.

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