New concepts in Perioperative Fluid Management | ||
| Benha Journal of Applied Sciences | ||
| Article 25, Volume 6, Issue 4, August 2021, Pages 163-168 PDF (581.04 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2021.189906 | ||
| Authors | ||
| R.K. Kamel; E.A. Shaboob; G.S.W. Youssef | ||
| Anesthesiology and Intensive care, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||
| Abstract | ||
| Background: Perioperative fluid management is an essential concern during the whole procedure and effective management of the fluid should be seen as accontinuation over the full hospital intake of the patient. This research sought to examine current studies in the perioperative fluid adjustment in order to preserve and recover tissue fluid and electrolyte hemeostasis and central euvolemia. Methods: The research was carried out in the same date period in MEDLINE, Embase, Pubmed and CINAHL Plus, using the following media terms: 'Perioperative; Fluid Management; Intensive Care; Anesthesia' including articles 2000 to 2020, Results and findings: Liberal fluids of up to 20 or 30 ml/kg/h may have some advantages for ambulatory patients (such as decrease in post-operative sleepiness, nausea, and discomfort), and international guidance recommends maintenance fluids of 1–2 ml/kg/h for lengthier or longer major procedures. The fluid challenge remains one of the most essential instruments for an anesthetician to evaluate the fluid response. When the patient is fluid depleted and tolerant of additional fluids, a little but fast fluid bolus should raise pre-load enough to induce a significant rise in stroke volume and cardiac output. Fluid management via improved restoration paths or a goal-oriented strategy has shown both to decrease post-operative problems. | ||
| Keywords | ||
| Perioperative; Fluid Management; Intensive care; Anesthesia | ||
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