By Robert G. Hahn
Scientific Fluid remedy within the Peri-Operative environment brings jointly a number of the world's major medical specialists in fluid administration to provide an explanation for what you have to understand while delivering infusion fluids to surgical and demanding care sufferers. present evidence-based wisdom, crucial easy technology and sleek medical perform are defined in 25 concentrated and authoritative chapters. every one bankruptcy publications the reader within the use of fluid treatment in all facets of peri-operative sufferer care. counsel is given at the right choice, volume and composition of fluids required as a result of the underlying pathology and nation of hydration of the sufferer, and the sort and length of surgical procedure. Edited through Robert G. Hahn, a hugely skilled clinician and award-winning researcher in fluid remedy, this can be crucial studying for all anaesthetists, intensivists and surgeons.
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Additional resources for Clinical Fluid Therapy in the Peri-Operative Setting
References 1. Brandstrup B, Tonnesen H, BeierHolgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg 2003; 238: 641–8. 2. Bundgaard-Nielsen M, Secher NH, Kehlet H. ‘Liberal’ vs. ‘restrictive’ perioperative fluid therapy – a critical assessment of the evidence. Acta Anaesthesiol Scand 2009; 53: 843–51. 3. Holte K, Kehlet H. Fluid therapy and surgical outcomes in elective surgery: a need for reassessment in fast-track surgery.
Eur J Cardiothorac Surg 1996; 10: 929–32; discussion 33. 11. Slinger PD. Perioperative fluid management for thoracic surgery: the puzzle of postpneumonectomy pulmonary edema. J Cardiothorac Vasc Anesth 1995; 9: 442–51. 12. Shires T, Williams J, Brown F. Acute change in extracellular fluids associated with major surgical procedures.
6 days) pro restriction: ↑ GI recovery ↓ complications, hospital stay (9 vs. 1. Perioperative methodology and outcomes of “fixed” volume randomized clinical trials. 62) cumulative iv fluids over days 0–4 Restrictive Volume administered (median [range]) physiological recovery length of hospital stay tissue perfusion and tissue oxygen pressure length of hospital stay Primary endpoint b. a. Results refer to the restrictive group. ↑, increased/improved; ↓, decreased; →, no change/significant difference.