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Perioperative Fluid Management in Enhanced Recovery

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Manual of Fast Track Recovery for Colorectal Surgery

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Abstract

Intravenous fluid therapy is an integral component of perioperative care, but this has, till recently, often been based on little evidence and much dogma, and patients have received either too much or too little fluid. Unfortunately, the morbidity resultant from sub-optimal fluid therapy has often been lost in the seriousness of the conditions (such as sepsis and major trauma) that call for the use of fluids [1]. However, resurgence of interest in perioperative fluid therapy in the twenty-first century has yielded good evidence that optimal fluid management is an important determinant of surgical outcome and that, as far as possible, patients should be managed in a state of zero fluid balance, avoiding both overload and underhydration [2–5].

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Varadhan, K.K., Lobo, D.N. (2012). Perioperative Fluid Management in Enhanced Recovery. In: Francis, N., Kennedy, R., Ljungqvist, O., Mythen, M. (eds) Manual of Fast Track Recovery for Colorectal Surgery. Enhanced Recovery. Springer, London. https://doi.org/10.1007/978-0-85729-953-6_5

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