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Review
. 2018 Apr-Jun;12(2):311-317.
doi: 10.4103/sja.SJA_689_17.

Intraoperative fluid management: Past and future, where is the evidence?

Abdulmohsin A Al-Ghamdi  1
Affiliations
Review

Intraoperative fluid management: Past and future, where is the evidence?

Abdulmohsin A Al-Ghamdi. Saudi J Anaesth. 2018 Apr-Jun.

Abstract

Currently, there is no consensus about the optimum intraoperative fluid therapy strategy. There is growing body of evidence supports the beneficial effects of adopting "Goal-directed therapy" over either the "liberal" or "restrictive" fluid therapy strategies. In this narrative review, we have presented the evidence to support the optimum strategy for intraoperative therapy. In conclusion, whatever the intravenous fluid replacement strategy used, the anesthesiologist must be prepared to adjust the composition and rate of the fluids administered to provide sufficient intravascular fluid volume for adequate perfusion of vital organs without overwhelming the glycocalyx function with fluid overloads.

Keywords: Anesthesia; fluid therapy; goal-directed; intraoperative; liberal; monitoring; restrictive.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Cardiopulmonary interactions during general anesthesia and mechanical ventilation
Figure 2
Figure 2
Relation between stroke volume variability and position of the patient on Frank–Starling law predicts fluid responsiveness
See this image and copyright information in PMC

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