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Related Experiment Video

Updated: May 10, 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

Perioperative fluids: a clear road ahead?

Zhi-Yong Peng¹, John A Kellum

¹Department of Critical Care Medicine, The CRISMA (Clinical Research, Investigation, and Systems Modeling of Acute Illness) Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, PA 15261, USA.

Current Opinion in Critical Care

|July 3, 2013

Summary

This summary is machine-generated.

Perioperative fluid management requires careful consideration due to potential hazards. An individualized approach balancing benefits and risks is crucial for optimal patient outcomes.

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Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

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Published on: July 28, 2018

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Last Updated: May 10, 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

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol

Published on: July 28, 2018

Area of Science:

Anesthesiology
Critical Care Medicine
Nephrology

Background:

Perioperative fluid management is a complex and controversial area.
Current practices are based on evolving evidence from diverse research domains.

Purpose of the Study:

To review current evidence on perioperative fluid management.
To summarize best practices based on clinical studies, basic research, and systematic reviews.

Main Methods:

Comprehensive literature review.
Analysis of clinical studies, basic research, and systematic reviews.

Main Results:

Recent evidence questions the superiority of colloids for resuscitation volumes.
Hydroxyethyl starch (HES) shows renal toxicity risks; large saline volumes may also be hazardous.
Patient condition influences fluid deposition; positive fluid balance correlates with adverse outcomes.

Conclusions:

Intravenous fluids, while life-saving, carry significant risks.
Fluid therapy requires cautious use, specific indications, and tailored amounts.
An individualized approach to perioperative fluid therapy is recommended.