Perioperative Fluid Administration

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Fluid choice for resuscitation and perioperative administration.

Fluid Choice for Resuscitation and Perioperative Administration Fluid administration is considered the cornerstone of resuscitative therapy for the treatment of hypotension, hypovolemia, and physical trauma. Isotonic salt (crystalloid) solutions (e.g., lactated Ringer’s solution [LRS]) are the most frequently recommended fluids for this therapy because they are considered to be safe, efficaciou...

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Supplemental perioperative fluid administration increases tissue oxygen pressure.

BACKGROUND Wound infections are common and serious surgical complications. Wound perfusion delivers oxygen, inflammatory cells, growth factors, and cytokines to injured tissues. Hypoperfused regions experience low oxygen tensions that do not support adequate oxidative killing or wound healing. Clinicians may fail to recognize clinically important hypovolemia because hemodynamic stability and ur...

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[Transesophageal echocardiography to monitor fluid administration during the perioperative period].

BACKGROUND During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements. AIM To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters. MATERIAL AND METHODS Twenty-four patients subjected to colon resection were randomized to ...

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Perioperative fluid management.

Technological advances have changed how traditional surgical procedures are performed. New knowledge and surgical skills are required to effectively monitor the patient and manage fluids administered perioperatively. Today, selective fluids are used in a variety of surgical specialties. Complications of fluid therapy can occur that are intrinsic to each procedure within a specialty. This articl...

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Perioperative Fluid Management 2002

Although most aspects of perioperative fluid management have remained relatively constant for more than two decades, new concepts and practices are currently evolving. Until the mid-to-late 1960s, the prevailing strategy of perioperative fluid management was rigid restriction (1). After Shires et al. (2,3) convincingly demonstrated that major surgery and trauma were associated with fluid requir...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2011

ISSN: 0003-3022

DOI: 10.1097/aln.0b013e31820c2ed4