Fluid Management

  • Jessica Miller
  • Lee A. Fleisher
  • Jeffrey L. Carson


It is imperative that anesthesiologists are well versed in modifications to fluid management for the elderly patient.1 This chapter discusses the guiding principles in fluid management and the important alterations in kidney function and fluid homeostasis in the elderly patient. These concepts are built upon to provide recommendations for the perioperative period. Preoperative evaluation, assessment, and decision making in the intraoperative period are discussed below, including methods of monitoring intraoperatively, types of fluids to administer, and the use of blood transfusions. Special anesthetic challenges such as spinal anesthesia and fluid management are also included.


Atrial Natriuretic Peptide Spinal Anesthesia Total Body Water Acute Tubular Necrosis Intravascular Volume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Jessica Miller
    • 1
  • Lee A. Fleisher
    • 2
  • Jeffrey L. Carson
    • 3
  1. 1.Fellow Department of Pediatric Anesthesiology and Critical CareChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.Department of Anesthesiology and Critical Care Chair of Anesthesiology and Critical CareHospital of the University of PennsylvaniaPhiladelphiaUSA
  3. 3.Division of General Internal Medicine Department of MedicineUMDNJ—Robert Wood Johnson Medical SchoolNew BrunswickUSA

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