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dc.contributor.authorChemali, Mark
dc.date.accessioned2019-07-30T07:35:25Z
dc.date.available2019-07-30T07:35:25Z
dc.date.issued2018-10-04
dc.identifier.urihttp://hdl.handle.net/2123/20819
dc.description.abstract1. Reason for writing: The aim of this research is to attempt to update best practice with regards to several areas of perioperative medicine. Particularly this thesis will investigate intraoperative fluid balance, both for intravenous crystalloid administration and blood product administration as well as postoperative analgesia in a subset of surgical patients. 2. Problem: These questions specifically asked are; (a) Does the judicious use of intraoperative crystalloid administration compared with liberal intraoperative crystalloid administration minimise postoperative morbidity and mortality? (b) Does the judicious use of intraoperative packed red blood cell administration compared with liberal intraoperative crystalloid administration minimise postoperative morbidity and mortality? (c) Does the form of postoperative analgesia used decrease recovery time, morbidity and mortality following general surgical procedures involving the abdominal cavity? 3. Methodology: A series of systematic reviews and meta-analysis for each of the three topics were conducted to synthesis current evidence. The aim is to determine if current evidence can be synthesised to develop a guide to clinical practice in the aforementioned areas. 4. Results: It was found that neither intraoperative fluid administration, blood product administration or method of post-operative analgesia had a statistically significant impact on the patient outcomes measured. 5. Implications: Further research may provide sufficient data to answer the above questions. However, current data is unable to give a clear answer to guide clinical practice.en_AU
dc.publisherUniversity of Sydneyen_AU
dc.publisherFaculty of Medicine and Healthen_AU
dc.publisherNepean Clinical Schoolen_AU
dc.rightsThe author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.en_AU
dc.subjectperIoperativeen_AU
dc.subjectrestrictive fluidsen_AU
dc.subjectenhanced recovery after surgeryen_AU
dc.subjectpostoperative painen_AU
dc.subjectcardiac surgeryen_AU
dc.titleAn Analysis Of Fluid Resuscitation And Pain Management In The Perioperative Settingen_AU
dc.typeMasters Thesisen_AU
dc.type.pubtypeMaster of Philosophy M.Philen_AU
dc.description.disclaimerAccess is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.en_AU


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