Portal de Periódicos da CAPES

Guía de práctica clínica para la elección del fluido de restauración volémica perioperatoria en los pacientes adultos intervenidos de cirugía no cardiaca

2015; Elsevier BV; Volume: 63; Issue: 1 Linguagem: Inglês

10.1016/j.redar.2015.06.013

2340-3284

M. Basora, M.J. Colomina, V. Moral, Marcin Lis, E. Boix, José Luis de Miguel Jover, Juan V. Llau, P. Rodrigo, Javier Ripollés, J.M. Calvo Vecino,

Renal function and acid-base balance

The present Clinical practice guide responds to the clinical questions about security in the choice of fluid (crystalloid, colloid or hydroxyethyl starch 130) in patients who require volume replacement during perioperative period of non-cardiac surgeries. From the evidence summary, recommendations were made following the GRADE methodology. In this population fluid therapy based on crystalloids is suggested (weak recommendation, low quality evidence). In the events where volume replacement is not reached with crystalloids, the use of synthetic colloids (hydroxyethyl starch 130 or modified fluid gelatin) is suggested instead of 5% albumin (weak recommendation, low quality evidence). The choice and dosage of the colloid should be based in the product characteristics, patient comorbidity and anesthesiologist's experience.