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Review
. 2025 Feb;41(1):83-99.
doi: 10.1016/j.cger.2024.03.008.

Perioperative Fluid Management

Affiliations
Review

Perioperative Fluid Management

Domagoj Mladinov et al. Clin Geriatr Med. 2025 Feb.

Abstract

The medical complexity of the geriatric patients has been steadily rising. Still, as outcomes of surgical procedures in the older adults are improving, centers are pushing boundaries. There is also a growing appreciation of the importance of perioperative fluid management on postoperative outcomes, especially in the older adults. Optimal fluid management in this cohort is challenging due to the combination of age-related physiological changes in organ function, increased comorbid burden, and larger fluid shifts during more complex surgical procedures. The current state-of-the-art approach to fluid management in the perioperative period is outlined.

Keywords: Anesthesia; Fluid therapy; Geriatrics; Perioperative medicine; Resuscitation; Surgery.

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