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. 2009 Feb;22(1):28-33.
doi: 10.1055/s-0029-1202883.

Perioperative fluid management

Zubin M Bamboat  1 , Liliana Bordeianou
Affiliations

Perioperative fluid management

Zubin M Bamboat et al. Clin Colon Rectal Surg. 2009 Feb.

Abstract

Many colorectal surgeons rely on traditional theories and approaches in addressing perioperative fluid management issues. Often, their training and instincts favor over-resuscitation, especially after bowel or emergent colorectal procedures. However, data are now emerging to support the use of more restrictive approaches to perioperative fluid administration-though uncertainties still exist as to which fluids are optimal, and how and when they should be administered. This article provides a focused, evidence-based review on this topic-highlighting critical considerations that clinicians may wish to address to improve patient outcomes following colorectal surgery.

Keywords: Perioperative management; colloid; crystalloid; fluid replacement; fluid restriction.

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Figures

Figure 1
Figure 1
Adverse consequences of a restrictive or liberal approach to perioperative fluid management in patients undergoing colorectal surgery.
Figure 2
Figure 2
Perioperative fluid management decision pathway. Consideration of these factors will enable clinicians to make an accurate ongoing assessment of the net fluid deficit/excess in colorectal surgery patients.
See this image and copyright information in PMC

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