Clinical practice guidelines for perioperative fluid therapy in Chinese adult patients (2025 edition)

Perioperative fluid therapy is a pivotal component of surgical patient management, as appropriate fluid administration can significantly enhance postoperative recovery. To standardize perioperative fluid therapy for adult patients in China, the Geriatric Anesthesia and Perioperative Management Group of the Chinese Society of Anesthesiology has developed the "Clinical Practice Guidelines for Perioperative Fluid Therapy in Chinese Adult Patients". Based on current clinical status in China, this guideline addressed 11 key areas based on clinical evidence, more than 30% of which is from China researchers, including principles for the selection of common fluid types, preoperative fasting and hydration following enhanced recovery after surgery (ERAS) protocols, intraoperative fluid requirements for adult patients, perioperative volume assessment, perioperative evaluation of volume overload/insufficiency, goal-directed fluid therapy, restrictive fluid therapy, perioperative fluid therapy strategies for high-risk patients, fluid resuscitation for massive blood loss, the relationship between perioperative fluid therapy and postoperative complications, and the relationship between perioperative fluid therapy and ERAS. The guideline included 51 evidence-based recommendations aimed at optimizing perioperative fluid management and improving patient outcomes after surgery.

液体治疗是围手术期管理的重要内涵及实现加速术后康复的关键。为了规范成人患者围手术期液体治疗，中华医学会麻醉学分会老年人麻醉与围术期管理学组结合我国临床实际，并基于超过30%的中国研究者证据制订了《中国成人患者围手术期液体治疗临床实践指南》。本指南涵盖了常见液体类型与选择原则、基于加速康复外科（ERAS）的术前禁食禁饮、成人患者术中液体需要量、围手术期容量评估、围手术期容量过负荷/容量不足、目标导向液体治疗、限制性液体治疗、高危患者围手术期液体治疗、大量失血成年患者的容量复苏、液体治疗策略与术后严重并发症、围手术期液体治疗与ERAS等11项内容，共51条推荐意见，旨在更好地指导成人患者围手术期液体治疗临床实践，改善患者生存质量与术后转归。.