Perioperative Fluid Therapy Ebook PDF download


Perioperative Fluid Therapy Ebook PDF download

Perioperative Fluid Therapy PDF
Perioperative Fluid Therapy

When you are in Surgery Clerkship this will help you Perioperative Fluid Therapy Ebook PDF download Intravenous fluid therapy is an essential component of perioperative management. Virtually all surgical patients, ranging from those having brief, minimally invasive outpatient procedures to those having major intracavitary surgery, receive at least preoperative and intraopera-
tive fluids; the majority of surgical inpatients receive postoperative fluids for varying intervals.

Perioperative fluid management has historically generated controversy, with little compelling data to address the conflict between the extreme approaches of ‘‘keep them dry’’ and ‘‘aggres-sively hydrate them.’

’ The limited data until now have driven a gradual change toward more liberal fluid administration in recent decades, but, in general, clinicians have used coarse,empirical approaches based on weakly supported rules of thumb. Many clinicians have no doubt concluded that their version of current practice is entirely satisfactory and perhaps have devoted little attention to recent clinical and technological advances in perioperativefluid management.

Perioperative Fluid Therapy Ebook PDF download

The scientific literature addressing perioperative fluid therapy is extensive, if somewhatdated and poorly suited to evidence-based management. Within the past 15 years, however,the basic and clinical science of perioperative fluid management has become a vibrant, rapidlyadvancing discipline.

Application of pharmacokinetic principles has clarified the responses to fluid administration of blood volume and fluid excretion in both healthy volunteers and surgical patients. Related studies in experimental animals have explored pharmacologic influences on the kinetics of fluid administration.

Well-designed clinical trials have providedimportant insights into the fluid requirements of patients undergoing specific types of outpatient and inpatient surgery, suggesting that perioperative fluid therapy must be individua-
lized and specifically modified based on the type of surgery.

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