REVIEW ARTICLE
Year : 2018  |  Volume : 12  |  Issue : 2  |  Page : 311-317

Intraoperative fluid management: Past and future, where is the evidence?


Department of Anesthesiology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Correspondence Address:
Dr. Abdulmohsin A Al-Ghamdi
Department of Anesthesiology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. P. O. 40081, Al Khubar 31952
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sja.SJA_689_17

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Currently, there is no consensus about the optimum intraoperative fluid therapy strategy. There is growing body of evidence supports the beneficial effects of adopting “Goal-directed therapy” over either the “liberal” or “restrictive” fluid therapy strategies. In this narrative review, we have presented the evidence to support the optimum strategy for intraoperative therapy. In conclusion, whatever the intravenous fluid replacement strategy used, the anesthesiologist must be prepared to adjust the composition and rate of the fluids administered to provide sufficient intravascular fluid volume for adequate perfusion of vital organs without overwhelming the glycocalyx function with fluid overloads.


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