Goals neither validated nor met in goal-directed colloid versus crystalloid therapy.

摘要

Kimberger et al. and the editors are to be commended for attempting to shed light on an important topic: "What is the optimal intraoperative fluid and resuscitation target? Many experienced physicians, including us, who provide anesthesia for major intraabdominal surgery have evolved over time from crystalloid-only, "show me the proof" physicians to those being in philosophical agreement with both the author and the editorial writers-goal-directed therapy with colloid is best in intestinal cases. We believe this produces less gut edema without compromising gut or other critical organ perfusion (not to mention reducing the anesthesiologist's aural discomfort from the oft repeated surgeon lament that the anesthesia team is "drowning" the patient). Indeed, Victor Hugo once said, "All the forces in the world are not so powerful as an idea whose time has come."