Anaes Cases · Perioperative fluid & goal-directed therapy
The GDT in the major bowel resection
The long case — the GDT in the colorectal surgery. The stroke-volume optimisation; the 250 mL boluses guided by the PPV/SVV; the vasopressor for the vasoplegia; the near-zero balance; the balanced crystalloid.
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Prompt
A 70-year-old man for the elective laparoscopic colorectal resection. Discuss the fluid management with the goal-directed approach.
Presentation
A 70-year-old man, ASA 2, for the elective laparoscopic colorectal resection. The hospital uses the ERAS protocol and the GDT. Discuss the intraoperative fluid management.
[2]References2ShowHide
- [2]Ashraf N, et al. Comparison of Goal-Directed Fluid Therapy and Conventional Fluid Therapy in Elective Major Abdominal Surgery: A Meta-Analysis of Randomized Controlled Trials. Cureus, 2026.PMID 42256823
- [4]Bertrand M, et al. Applied physiology: invasive blood pressure. Ann Intensive Care, 2025.PMID 41372508