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Related Experiment Video

Updated: Jun 28, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Avoiding common problems associated with intravenous fluid therapy.

Andrew K Hilton¹, Vincent A Pellegrino, Carlos D Scheinkestel

¹Intensive Care Unit, Alfred Hospital, Melbourne, VIC.

The Medical Journal of Australia

|November 4, 2008

Summary

Inappropriate intravenous fluid therapy, including incorrect volume or type, can harm patients. A restrictive approach to perioperative fluids and monitoring electrolytes, especially sodium, is recommended for uncomplicated cases.

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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Published on: November 9, 2016

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Area of Science:

Medical Science
Clinical Practice
Patient Safety

Background:

Inappropriate intravenous fluid therapy is a major contributor to patient morbidity and mortality.
Fluid imbalances can stem from incorrect fluid volume (overload or deficit) or wrong fluid type.
Complications of fluid overload are more common in patients with pre-existing cardiorespiratory disease or severe acute illness.

Purpose of the Study:

To highlight the risks associated with intravenous fluid therapy.
To define the consequences of fluid overload and insufficient fluid administration.
To recommend best practices for perioperative fluid management.

Main Methods:

Review of clinical outcomes related to intravenous fluid therapy.
Analysis of signs and symptoms indicating inadequate circulation and organ perfusion.
Examination of serum electrolyte derangements, particularly sodium levels, and their neurological impact.

Main Results:

Fluid overload lacks a precise definition but is linked to severe illness and cardiorespiratory compromise.
Insufficient fluid administration presents with clear signs of poor circulation and organ hypoperfusion.
Incorrect fluid types can cause significant serum sodium imbalances, leading to neurological injury.

Conclusions:

A restrictive approach to perioperative intravenous fluid replacement is advised for uncomplicated patients.
Hypotonic fluids should be initially avoided in perioperative settings.
Regular monitoring of serum electrolytes, with a focus on sodium, is crucial for patient safety.