Corpus ID: 17621929

Pathophysiology and clinical implications of peroperative fluid management in elective surgery.

@article{Holte2010PathophysiologyAC,
  title={Pathophysiology and clinical implications of peroperative fluid management in elective surgery.},
  author={Kathrine Holte},
  journal={Danish medical bulletin},
  year={2010},
  volume={57 7},
  pages={
          B4156
        }
}
  • K. Holte
  • Published 1 July 2010
  • Medicine
  • Danish medical bulletin
The purpose of this thesis was to describe pathophysiological aspects of perioperative fluid administration and create a rational background for future, clinical outcome studies. In laparoscopic cholecystectomy, we have found "liberal" crystalloid administration ( approximately 3 liters) to improve perioperative physiology and clinical outcome, which has implication for fluid management in other laparoscopic procedures such as laparoscopic fundoplication, laparoscopic repair of ventral hernia… Expand
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References

SHOWING 1-10 OF 218 REFERENCES
Intraoperative Fluid Restriction Improves Outcome After Major Elective Gastrointestinal Surgery
  • G. Joshi
  • Medicine
  • Anesthesia and analgesia
  • 2005
TLDR
A balanced approach to fluid management is recommended, with colloids administered to provide hemodynamic stability and maintain urine output and crystalloids administered only for maintenance, and predetermined algorithms that suggest replacement of third space losses and losses through diuresis are unnecessary. Expand
Perioperative Fluid Management and Clinical Outcomes in Adults
TLDR
A number of clinical studies support the notion that an approach based on administering fluids to achieve maximalleft ventricular stroke volume (while avoiding excess fluid administration and consequent impairment of left ventricular performance) may improve outcomes. Expand
Liberal Versus Restrictive Fluid Administration to Improve Recovery After Laparoscopic Cholecystectomy: A Randomized, Double-Blind Study
TLDR
Nausea, general well-being, thirst, dizziness, drowsiness, fatigue, and balance function were significantly improved, as well as significantly more patients fulfilled discharge criteria and were discharged on the day of surgery with the high-volume fluid substitution. Expand
Effect of Intraoperative Fluid Management on Outcome after Intraabdominal Surgery
TLDR
In patients undergoing elective intraabdominal surgery, intraoperative use of restrictive fluid management may be advantageous because it reduces postoperative morbidity and shortens hospital stay. Expand
Liberal or restrictive fluid administration in fast-track colonic surgery: a randomized, double-blind study.
TLDR
A 'restrictive' fluid regimen led to a transient improvement in pulmonary function and postoperative hypoxaemia but no other differences in all-over physiological recovery compared with a 'liberal' [corrected] fluid regimen after fast-track colonic surgery. Expand
Liberal Versus Restrictive Fluid Management in Knee Arthroplasty: A Randomized, Double-Blind Study
TLDR
A liberal compared to a restrictive intravascular fluid regimen may lead to significant hypercoagulability and a reduction in vomiting, but without differences in other recovery variables or hospital stay after fast-track knee arthroplasty. Expand
Influence of “Liberal” versus “Restrictive” Intraoperative Fluid Administration on Elimination of a Postoperative Fluid Load
TLDR
Elimination of an intravenous fluid load was increased after laparoscopic cholecystectomy per se but not influenced by the amount of intraoperative fluid administration, and changes in volume kinetics including V were not different between the two groups. Expand
Randomized Comparison of Oral and Intravenous Fluid Regimens after Gallbladder Surgery
TLDR
A conservative approach to fluid administration has no detrimental effect on hydration in fit patients with uncomplicated surgery and remains within normal limits in all three groups despite significant changes in urine electrolyte and osmolality. Expand
Fluid therapy for the surgical patient.
  • B. Brandstrup
  • Medicine
  • Best practice & research. Clinical anaesthesiology
  • 2006
TLDR
Current standard fluid therapy is not at all evidence-based; the evaporative loss from the abdominal cavity is highly overestimated; the non-anatomical third space loss is based on flawed methodology and most probably does not exist; the fluid volume accumulated in traumatized tissue is very small; and volume preloading of neuroaxial blockade is not effective and may cause postoperative fluid overload. Expand
Goal-directed Intraoperative Fluid Administration Reduces Length of Hospital Stay after Major Surgery
TLDR
Goal-directed intraoperative fluid administration results in earlier return to bowel function, lower incidence of postoperative nausea and vomiting, and decrease in length of postoperatively hospital stay. Expand
...
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3
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5
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