RT Journal Article
SR Electronic
T1 Perioperative fluid management: Progress despite lingering controversies
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP S28
OP S31
DO 10.3949/ccjm.76.s4.05
VO 76
IS 10 suppl 4
A1 Mark A. Hamilton
YR 2009
UL http://www.ccjm.org/content/76/10_suppl_4/S28.abstract
AB Perioperative fluid management remains controversial. Nevertheless, its optimization is essential to reducing the risk of postoperative complications, which have been shown to profoundly affect patients’ short- and long-term outcomes. Current evidence favors a “flow-guided” approach to perioperative fluid administration, which uses variables such as stroke volume and cardiac output as the basis for guiding fluid requirements. The optimal fluid is controversial, although colloids appear to have some physiologic advantages over crystalloids. Minimally invasive technologies have emerged for intraoperative monitoring of blood flow, which may enable more precise fluid titration.