ON THE COVER:
Management of perioperative fluid impacts gastrointestinal function. In this issue of Anesthesiology, Gómez-Izquierdo et al. randomized patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program to receive intraoperative goaldirected fluid therapy or fluid therapy based on traditional principles and assessed the impact on postoperative ileus. Intraoperative goal-directed fluid therapy did not reduce postoperative ileus, suggesting that previously demonstrated benefits might have been offset by advancements in perioperative care.
Gómez-Izquierdo et al.: Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery: A Randomized Controlled Trial, p. 36