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Plasma volume expanders and intraoperative fluid therapy.

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  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jmlee@catholic.ac.kr.

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|January 11, 2019
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Summary

Intraoperative fluid therapy for surgical patients involves choosing between colloid and crystalloid solutions, debating different colloid types, and deciding on high or low volume strategies. This overview aims to clarify these complex issues in fluid management.

Keywords:
ColloidCrystalloidFluid therapyIntraoperativeVolume replacement

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Area of Science:

  • Anesthesiology
  • Surgical Patient Management
  • Fluid Therapy

Background:

  • Adequate intravascular volume restoration is critical for surgical patients.
  • Current fluid replacement strategies lack clear guidelines, often relying on tradition.
  • Debates persist regarding optimal fluid choices and volumes.

Purpose of the Study:

  • To review and present different fluid solutions for intraoperative therapy.
  • To address the ongoing controversies in fluid management for surgical patients.
  • To facilitate evidence-based strategies for volume replacement.

Main Methods:

  • Literature review and synthesis of current evidence.
  • Analysis of the colloid versus crystalloid debate.
  • Examination of colloid versus colloid choices.
  • Discussion of high versus low volume replacement strategies.

Main Results:

  • The choice between colloids and crystalloids remains controversial.
  • An expanding array of colloid solutions fuels further debate.
  • The optimal volume replacement strategy (high vs. low) is debated among anesthesiologists.

Conclusions:

  • Intraoperative fluid therapy requires careful consideration of multiple controversial factors.
  • Evidence-based strategies are needed to move beyond traditional approaches.
  • This overview provides a framework for optimizing fluid management in surgical patients.