[Perioperative fluid management in major abdominal surgery]

Area of Science:

• Anesthesiology and Perioperative Medicine
• Surgical Outcomes Research

Background:

• Intravascular fluid administration is a cornerstone of perioperative care.
• Effective fluid management impacts surgical outcomes, particularly in major abdominal surgery.
• Avoiding hypovolemia and hypervolemia is key to preventing tissue hypoperfusion.

Purpose of the Study:

• To highlight the importance of adequate perioperative fluid management.
• To emphasize the role of fluid therapy in reducing postoperative morbidity and mortality.
• To underscore the need for detailed knowledge and guided measures for effective fluid administration.

Main Methods:

• Fluid management begins preoperatively and continues postoperatively.
• Utilizes patient-adjusted and surgery-adjusted hemodynamic monitoring.
• Requires comprehensive understanding of fluid substances and therapeutic guidance.

Main Results:

• Adequate perioperative fluid management significantly reduces postoperative morbidity and mortality.
• Effective fluid administration mitigates insufficient tissue perfusion.
• Continuous monitoring and adjustment are essential throughout the perioperative period.

Conclusions:

• Intravascular fluid administration is critical for optimizing surgical outcomes.
• Patient- and surgery-specific hemodynamic monitoring guides effective fluid therapy.
• Interprofessional communication is vital for successful perioperative fluid management.