Perioperative fluid management

Many colorectal surgeons rely on traditional theories and approaches in addressing perioperative fluid management issues. Often, their training and instincts favor over-resuscitation, especially after bowel or emergent colorectal procedures. However, data are now emerging to support the use of more restrictive approaches to perioperative fluid administration-though uncertainties still exist as to which fluids are optimal, and how and when they should be administered. This article provides a focused, evidence-based review on this topic-highlighting critical considerations that clinicians may wish to address to improve patient outcomes following colorectal surgery.