| Perioperative fluid management and clinical outcomes in adults. | |
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MedLine Citation:
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PMID: 15781528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The administration of IV fluid to avoid dehydration, maintain an effective circulating volume, and prevent inadequate tissue perfusion should be considered, along with the maintenance of sleep, pain relief, and muscular relaxation, a core element of the perioperative practice of anesthesia. Knowledge of the effects of different fluids has increased in recent years, and the choice of fluid type in a variety of clinical situations can now be rationally guided by an understanding of the physicochemical and biological properties of the various crystalloid and colloid solutions available. However, there are few useful clinical outcome data to guide this decision. Deciding how much fluid to give has historically been more controversial than choosing which fluid to use. A number of clinical studies support the notion that an approach based on administering fluids to achieve maximal left ventricular stroke volume (while avoiding excess fluid administration and consequent impairment of left ventricular performance) may improve outcomes. In this article, we review the available fluid types and strategies of fluid administration and discuss their relationship to clinical outcomes in adults. |
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Authors:
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Michael P W Grocott; Michael G Mythen; Tong J Gan |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 100 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-03-22 Completed Date: 2005-04-12 Revised Date: 2006-02-21 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1093-106 Citation Subset: AIM; IM |
Affiliation:
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Centre for Anaesthesia, University College London, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Fluid Compartments / physiology Fluid Therapy* Humans Perioperative Care* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 2005 Nov;101(5):1561; author reply 1561
[PMID:
16244039
]
Anesth Analg. 2006 Feb;102(2):651-2; author reply 652 [PMID: 16428590 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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