scholarly journals Intraoperative fluids: how much is too much?

2012 ◽  
Vol 109 (1) ◽  
pp. 69-79 ◽  
Author(s):  
M. Doherty ◽  
D.J. Buggy
Keyword(s):  
Intraoperative Fluids

scholarly journals Effect of the Type of Intraoperative Restrictive Fluid Management on the Outcome of Pancreaticoduodenectomy: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Jian Wang ◽  
Wenchong Sun ◽  
Zhongbao Fan ◽  
Xin An ◽  
Ling Pei
Keyword(s):  
Systematic Review ◽  
Perioperative Management ◽  
Retrospective Studies ◽  
Meta Analysis ◽  
Fluid Management ◽  
Length Of Hospital Stay ◽  
Cochrane Library ◽  
Pancreatic Fistulas ◽  
Prospective Trials ◽  
Intraoperative Fluids

Background. The perioperative management of pancreaticoduodenectomy is complicated, and the significant morbidity and mortality may be influenced by the method of intraoperative fluid management. Whether intraoperative restrictive fluid therapy can affect the outcomes of pancreaticoduodenectomy or not is controversial. Methods. PubMed, EMBASE, Cochrane Library, and clinicaltrials.gov were searched for prospective and retrospective studies comparing restrictive and liberal intraoperative fluids in patients undergoing pancreaticoduodenectomy. Following study identification, a systematic review and meta-analysis were performed. Results. Fourteen studies, including six prospective trials and eight retrospective studies, involving 2,596 patients, were included. Intraoperative restrictive fluid regimens had no effect on the mortality compared to liberal fluid regimens in the overall cohort (odds ratio [OR]: 1.39; 95% confidence interval [CI]: 0.82–2.35, p = 0.773 ). Liberal fluid regimens could increase the risk of pulmonary adverse events (OR: 1.66; 95% CI: 1.10–2.50, p = 0.131 ) and prolong the length of hospital stay (SMD -0.10; 95% CI -0.19– -0.01, p = 0.375 ). There were no significant differences in the incidence of pancreatic fistulas. Conclusions. Restrictive fluid regimens have a slight effect on the outcomes of pancreaticoduodenectomy. The clinical relevance of this finding needs to be interpreted. The existing evidence may not be adequate; therefore, further studies are warranted.

scholarly journals Response of Extravascular Lung Water to Intraoperative Fluids

1983 ◽  
Vol 197 (5) ◽  
pp. 515-519 ◽  
Author(s):  
G. TOM SHIRES ◽  
ANDREW B. PEITZMAN ◽  
STEVEN A. ALBERT ◽  
HANA ILLNER ◽  
MICHAEL F. SILANE ◽  
...  
Keyword(s):  
Extravascular Lung Water ◽  
Lung Water ◽  
Intraoperative Fluids

Intraoperative Fluids

2013 ◽  
Vol 57 (1) ◽  
pp. 53-54 ◽  
Author(s):  
M. Doherty ◽  
D. J. Buggy
Keyword(s):  
Intraoperative Fluids

scholarly journals Pulse Pressure Variation-Guided Fluid Therapy during Supratentorial Brain Tumour Excision: A Randomized Controlled Trial

2019 ◽  
Vol 7 (15) ◽  
pp. 2474-2479
Author(s):  
Ahmed Hasanin ◽  
Tarek Zanata ◽  
Safinaz Osman ◽  
Yasser Abdelwahab ◽  
Rania Samer ◽  
...  
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Fluid Therapy ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Serum Lactate ◽  
Pressure Variation ◽  
Control Group ◽  
Intraoperative Fluids

BACKGROUND: Goal-directed fluid therapy (GDFT) improved patient outcomes in various surgical procedures; however, its role during mass brain resection was not well investigated. AIM: In this study, we evaluated a simple protocol based on intermittent evaluation of pulse pressure variation for guiding fluid therapy during brain tumour resection. METHODS: Sixty-one adult patients scheduled for supratentorial brain mass excision were randomized into either GDFT group (received intraoperative fluids guided by pulse pressure variation) and control group (received standard care). Both groups were compared according to the following: brain relaxation scale (BRS), mean arterial pressure, heart rate, urine output, intraoperative fluid intake, postoperative serum lactate, and length of hospital stay. RESULTS: Demographic data, cardiovascular data (mean arterial pressure and heart rate), and BRS were comparable between both groups. GDFT group received more intraoperative fluids {3155 (452) mL vs 2790 (443) mL, P = 0.002}, had higher urine output {2019 (449) mL vs 1410 (382) mL, P < 0.001}, and had lower serum lactate {0.9 (1) mmol versus 2.5 (1.1) mmol, P = 0.03} compared to control group. CONCLUSION: In conclusion, PPV-guided fluid therapy during supratentorial mass excision, increased intraoperative fluids, and improved peripheral perfusion without increasing brain swelling.

scholarly journals Intraoperative Fluids and Fluid Management for Ambulatory Dental Sedation and General Anesthesia

2015 ◽  
Vol 62 (4) ◽  
pp. 168-177 ◽  
Author(s):  
Mana Saraghi
Keyword(s):  
General Anesthesia ◽  
Water Distribution ◽  
Oral Surgery ◽  
Fluid Management ◽  
General Anesthetic ◽  
Fluid Status ◽  
Outpatient Procedures ◽  
Crystalloid Solutions ◽  
Minor Oral Surgery ◽  
Intraoperative Fluids

Intravenous fluids are administered in virtually every parenteral sedation and general anesthetic. The purpose of this article is to review the physiology of body-water distribution and fluid dynamics at the vascular endothelium, evaluation of fluid status, calculation of fluid requirements, and the clinical rationale for the use of various crystalloid and colloid solutions. In the setting of elective dental outpatient procedures with minor blood loss, isotonic balanced crystalloid solutions are the fluids of choice. Colloids, on the other hand, have no use in outpatient sedation or general anesthesia for dental or minor oral surgery procedures but may have several desirable properties in long and invasive maxillofacial surgical procedures where advanced hemodynamic monitoring may assess the adequacy of intravascular volume.

scholarly journals Intraoperative fluids and postoperative haemoglobin

2016 ◽  
Vol 116 (5) ◽  
pp. 723 ◽  
Author(s):  
A Cumberworth ◽  
J Cumberworth
Keyword(s):  
Intraoperative Fluids ◽  
Postoperative Haemoglobin
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