Table 2.
Colloid* (recommended) or crystalloid (3 mL/kg) | Liberal | Restrictive |
Colloid/blood (using a transfusion threshold) bolus if acute bleeding | Yes | Yes |
If normotensive but monitoring suggests hypovolaemia (eg, CVP<5 or oliguria) | Yes | No |
If normotensive but goal-directed device suggests hypovolaemia (eg, FTc <0.33, ΔSV ≥10% or SVV≥13%) | Yes | Consider |
If hypotensive | ||
(1) and hypovolaemia | Colloid* | Colloid* (but limit)+vasoconstrictor |
(2) but not hypovolaemic | Colloid*±vasoactive | vasoactive therapy |
*Starch-based colloids were not recommended.
CVP, central venous pressure monitoring; FTc, flow time corrected; SVV, stroke volume variation.