Intraoperative Fluid Strategy

CA-2 · I.B.5.e I.B.1.d.5 I.D.2.d.2

44Sources
6Kept
0Dropped

1 · Find evidence

PubMed query

Every result is a real PMID returned by NCBI. Nothing on this step is generated.

Ask OpenEvidence ↗

OpenEvidence opens in your own logged-in session with the question filled in. Nothing is fetched on your behalf — read it there, then add what you want to teach as a point below, citing the source it came from.

44 candidate papers

Ticked papers are the ones a deck may be built from. Unticking one needs a reason — the citation gate proves a paper exists, and nothing but you decides whether it should be taught. A tier badge appears where the paper’s publication type is known.

Same-day build

PubMed query

Runs the tiered searches, drafts one point per included paper, runs the citation gate and builds a draft deck — the steps below, unattended. Same-day build — drafted locally (medgemma:27b), confirmed against each abstract. The deck still lands in draft: nothing here approves anything.

2 · Teaching points

Source

A point with no source will not survive the gate. That is the point of the gate.

6 points

Goal-directed haemodynamic therapy is not recommended routinely for major elective abdominal surgery; consider it patient by patient in moderate- to high-risk major noncardiac surgery, and do not use fixed low-dose inotrope infusions as part of the protocol. PMID 40640043 kept
Only 44% of boluses given during goal-directed fluid therapy actually raised stroke volume by 10%, and the chance fell to near zero when stroke volume already exceeded 100 mL and had dropped less than 8% since the last optimisation. PMID 37140405 kept
Across 95 trials, goal-directed therapy reduced mortality (odds ratio 0.66) and pneumonia, kidney injury and wound infection — but subgroup analysis found no mortality benefit for fluid-only protocols. PMID 29369117 kept
In transthoracic oesophagectomy, goal-directed therapy targeting stroke volume variation below 8% reduced death or major complications from 35% to 19%. PMID 33092805 kept
Intraoperatively, maintain euvolemia using an individualized goal-directed therapy plan based on patient and surgical risk, matching monitoring needs with hemodynamic goals to reduce complications and length of stay. PMID 29406186 kept
Goal-directed therapy reduced overall postoperative complications regardless of the total volume infused, but did not reduce perioperative mortality or any single organ-specific complication. PMID 33522953 kept

Checks every citation against PubMed, the DOI resolver, or a live fetch. Points that do not resolve are dropped and shown to you with the reason — never quietly softened.

4 · Build the deck

Oral boards stem — optional

Decks

Deck c076e61c draft
5 · Question bank

Oral boards prompts for you

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