[Perioperative fluid management: an analysis of the present situation].
Optimal perioperative fluid management is still controversial. Besides well known perioperative hypovolaemia, hypervolaemia has an influence on perioperative morbidity and mortality, particularly with regard to the patient's medical history, a reduced cardiac and pulmonal function and the operation itself. The concepts of preoperative, intraoperative and postoperative fluid administration are neither adequately validated, nor sufficiently integrated into a perioperative concept. At the present, moderate fluid administration to improve preoperative and postoperative outcome is safe in minor or medium surgical procedures. High-risk surgical patients benefit from a time-oriented or/and goal-oriented monitored fluid therapy. In the past only little attention has been concentrated on postoperative fluid management, but may be stimulated by the new concepts of fast track surgery.
Zausig
Y A
YA
ZARI - Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsklinikum, Georg-August-Universität, Göttingen, Germany. yzausig@zari.de
Weigand
M A
MA
Graf
B M
BM
D001810:Blood Volume / Q000502:physiology; D005440:Fluid Therapy / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D006801:Humans; D020896:Hypovolemia / Q000517:prevention & control; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000517:prevention & control; D019990:Perioperative Care / Q000639:trends*; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D014882:Water-Electrolyte Balance / Q000187:drug effects / Q000502:physiology*