New perioperative fluid and pharmacologic management protocol results in reduced blood loss, faster return of bowel function, and overall recovery.

Wüthrich, Patrick Yves; Burkhard, Fiona C. (2015). New perioperative fluid and pharmacologic management protocol results in reduced blood loss, faster return of bowel function, and overall recovery. Current urology reports, 16(4), p. 17. Current Science 10.1007/s11934-015-0490-1

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Cystectomy and urinary diversion have high morbidity, and strategies to reduce complications are of utmost importance. Epidural analgesia and optimized fluid management are considered key factors contributing to successful enhanced recovery after surgery. In colorectal surgery, there is strong evidence that an intraoperative fluid management aiming for a postoperative zero fluid balance results in lower morbidity including a faster return of bowel function. Recently, a randomized clinical trial focusing on radical cystectomy demonstrated that a restrictive intraoperative hydration combined with a concomitant administration of norepinephrine reduced intraoperative blood loss, the need for blood transfusion and morbidity. The purpose of this review is to highlight specific anesthesiological aspects which have been shown to improve outcome after RC with urinary diversion.

Item Type:	Journal Article (Review Article)
Division/Institute:	04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology 04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
UniBE Contributor:	Wüthrich, Patrick Yves, Burkhard, Fiona Christine
Subjects:	600 Technology > 610 Medicine & health
ISSN:	1527-2737
Publisher:	Current Science
Language:	English
Submitter:	Jeannie Wurz
Date Deposited:	23 Jun 2015 17:19
Last Modified:	02 Mar 2023 23:26
Publisher DOI:	10.1007/s11934-015-0490-1
PubMed ID:	25691437
URI:	https://boris.unibe.ch/id/eprint/69759