Current evidence-based knowledge, essential basic science and modern clinical practice are explained in 25 focused and authoritative chapters. Each chapter guides the reader in the use of fluid therapy in all aspects of peri-operative patient care. Guidance is given on the correct selection, quantity and composition of fluids required as a consequence of the underlying pathology and state of hy...

Address for Correspondence: Enrico Giustiniano E-mail: [email protected] ©Copyright 2016 by Turkish Anaesthesiology and Intensive Care Society Available online at www.jtaics.org Received : 18.10.2016 Accepted : 20.11.2016 Goal-directed fluid therapy (GDFT) has been shown to affect the perioperative outcome in major surgery. Specifically, a ‘restrictive’ volume load is preferable t...

The following basic rules of parenteral fluid therapy are formulated with the aim of alleviating concern and confusion about i.v. fluid orders that are experienced by most physicians: Don't be generous with fluid; in determining the water intake, one must know the usual water output through the kidney, skin and lung; one must know the quantities of the electrolytes and nutrients that are being ...

Initial fluid resuscitation in conjunction with temporary hemostasis should aim at maintenance of vital organ perfusion above critical levels. Judicious use of fluids is indicated in this early stage. Complete volume replacement is done once permanent hemostasis has been achieved. Mild (20%-40%) hemodilution produces hypercoagulability, while further hemodilution results in hypocoagulability. R...

The clinical determination of the intravascular volume can be extremely difficult in critically ill and injured patients as well as those undergoing major surgery. This is problematic because fluid loading is considered the first step in the resuscitation of hemodynamically unstable patients. Yet, multiple studies have demonstrated that only approximately 50% of hemodynamically unstable patient...

The aim of the paper is to show basic ideas of magnetic fluid hyperthermia treatment with regard to power losses which occur during heating with alternating magnetic field. A special attention has been paid to dielectric, hysteresis and relaxation mechanism losses and their contribution to total power losses. A numerical analysis has been done with regard to a simplified female breast phantom a...

We aimed to evaluate perioperative outcomes in patients undergoing pancreaticoduodenectomy with or without a cardiac output goal directed therapy (GDT) algorithm. We conducted a multicentre randomised controlled trial in four high volume hepatobiliary-pancreatic surgery centres. We evaluated whether the additional impact of a intraoperative fluid optimisation algorithm would influence the amoun...

Fluid management is of critical importance and challenging during the treatment of patients with septic shock. Positive fluid therapy could effectively improve the hemodynamic stability, decrease the complication and mortality of patients (1). However, this approach is not always benefit to patients, it is associated with many risks, such as acute heart failure and acute pulmonary edema especia...

Hemorrhagic shock is a severe life-threatening emergency affecting all organ systems of the body by depriving tissue of sufficient oxygen and nutrients by decreasing cardiac output. This article is a short review of the different types of shock, followed by information specifically referring to hemorrhagic shock. The American College of Surgeons categorized shock into 4 classes: (1) distributiv...

The majority of burn centres use the crystalloid-based Parkland formula to guide fluid therapy, but patients actually receive far more fluid than the formula predicts. Resuscitation with large volumes of crystalloid has numerous adverse consequences, including worsening of burn oedema, conversion of superficial into deep burns, and compartment syndromes. Resuscitation fluids influence the infla...