Current Approaches in Intraoperative Fluid Management
Chapter from the book:
Bilgili,
A.
(ed.)
2024.
Academic Research and Evaluations in Health Sciences II.
Synopsis
Intraoperative fluid management is critically important for maintaining hemodynamic stability and optimizing organ perfusion during surgery. The fluids used include crystalloids, colloids, and blood products. Treatment strategies should be individualized based on the type of surgery and the patient's physiological status. Modern approaches encompass fluid management through goal-directed therapy (GDT) or standard protocols. Crystalloids are typically the first-choice fluids due to their minimal side effects. Colloids are used in situations requiring rapid volume expansion but should be applied cautiously due to their associated risks. In cases of massive blood loss, blood products and massive transfusion protocols (MTP) are utilized. Accurate calculation and monitoring are crucial for the success of fluid management. Advanced monitoring techniques, such as stroke volume variation (SVV) and pulse pressure variation (PPV), are used to evaluate fluid responsiveness. Individualized fluid management also plays a vital role in reducing complications. In conclusion, intraoperative fluid therapy should be planned according to clinical guidelines and patient-specific factors. The preference for balanced crystalloids to minimize the risk of hyperchloremic acidosis and the adoption of GDT have set new standards in fluid therapy. These approaches play a critical role in improving surgical outcomes and reducing complications.
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Copyright (c) 2024 Ali Bilgili; Kübra Yıldırım, Meryem Fırat, Mehtap Kavurmacı, Büşra Ceren Demirel Yıldız, Ayşenur Sarıaslan, İdris Yıldız, Ali İhsan Pala, Özgür Temiz, Gürkan Öztürk, Mehtap Tan, Zekai Halıcı, Ayla Ünsal, Papatya Karakurt, Nursel Cengiz, Gamze Kumral, Hatice Bozkurt Yılmaz, Hilmi Demirkıran, Nur Pınar Ayaz, Gülay Yılmazel, Remziye Cici, Gizem Yazdan Özen, Yalçın Gölcük, Burcu Demir Gökmen, Mine Cengiz, Mehmet Tankül, Fikret Etçi, Nadide Sevil Tülüce, Seher Palanbek Yavaş, Hüseyin Çetin Ketenci, Sezai Özkan, Kerime Öğüt Düzen, Gizem Helvacı, Nuray Dorukbaşı, Tahsin Gökhan Telatar, Melike Gülsever, Pakize Cantürk, Ayşe Kömürcü, Mehmet Cihan Yavaş, Fatma İrem Yardımeden, Hüseyin Altundal, Uğur Şeker