Abstract
Optimal fluid replacement is critical to both the short- and long-term outcomes of surgical patients. Perioperative replacement of both insensible fluid loss and blood loss, in addition to maintenance fluid replacement is critical to both the short- and long-term outcomes of surgical patients. However, the type of fluid replacement (colloid versus crystalloid) and the amount of fluid given has been debated and continues to remain controversial. In addition, controversy exists regarding the optimal fluid replacement for bariatric surgical patients. Both aggressive and restricted fluid replacement strategies have been advocated, although the evidence supporting or refuting either approach has been sparse. This chapter reviews the evidence surrounding the controversy of optimal fluid replacement strategies.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Holte K, Klarskov B, Christensen DS et al (2004) Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg 240:892–899
Wool DB, Lemmens HJ, Brodsky JB et al (2010) Intraoperative fluid replacement and postoperative creatine phosphokinase levels in laparoscopic bariatric patients. Obes Surg 20:698–701
Brandstrup B, Tonnesen H, Beier-Holgersen R et al (2003) Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg 238:641–648
Lemmens HJ, Bernstein DP, Brodsky JB (2006) Estimating blood volume in obese and morbidly obese patients. Obes Surg 16:773–776
Tremblay LN, Rizoli SB, Brenneman FD (2001) Advances in fluid resuscitation of hemorrhagic shock. Can J Surg 44:172–179
Rackow EC, Falk JL, Fein IA et al (1983) Fluid resuscitation in circulatory shock: a comparison of the cardiorespiratory effects of albumin, hetastarch, and saline solutions in patients with hypovolemic and septic shock. Crit Care Med 11:839–850
Shoemaker WC, Schluchter M, Hopkins JA et al (1981) Comparison of the relative effectiveness of colloids and crystalloids in emergency resuscitation. Am J Surg 142:73–84
Hauser CJ, Shoemaker WC, Turpin I et al (1980) Oxygen transport responses to colloids and crystalloids in critically ill surgical patients. Surg Gynecol Obstet 150:811–816
Hankeln K, Radel C, Beez M et al (1989) Comparison of hydroxyethyl starch and lactated Ringer’s solution on hemodynamics and oxygen transport of critically ill patients in prospective crossover studies. Crit Care Med 17:133–135
Dahn MS, Lucas CE, Ledgerwood AM et al (1979) Negative inotropic effect of albumin resuscitation for shock. Surgery 86:235–241
Lucas CE, Ledgerwood AM, Higgins RF et al (1980) Impaired pulmonary function after albumin resuscitation from shock. J Trauma 20:446–451
Mythen MG, Webb AR (1995) Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 130:423–429
Mythen MG, Webb AR (1994) Intra-operative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 20:99–104
Hiltebrand LB, Kimberger O, Arnberger M et al (2009) Crystalloids versus colloids for goal-directed fluid therapy in major surgery. Crit Care 13:R40
Lang K, Boldt J, Suttner S et al (2001) Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery. Anesth Analg 93:405–409
Boldt J, Ducke M, Kumle B et al (2004) Influence of different volume replacement strategies on inflammation and endothelial activation in the elderly undergoing major abdominal surgery. Intensive Care Med 30:416–422
Maharaj CH, Kallam SR, Malik A et al (2005) Preoperative intravenous fluid therapy decreases postoperative nausea and pain in high risk patients. Anesth Analg 100:675–682
Lobo DN, Bostock KA, Neal KR et al (2002) Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet 359:1812–1818
Nisanevich V, Felsenstein I, Almogy G et al (2005) Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology 103:25–32
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Italia
About this chapter
Cite this chapter
Ingrande, J. (2013). What is Optimal Fluid Management of the Obese Surgical Patient?. In: Leykin, Y., Brodsky, J. (eds) Controversies in the Anesthetic Management of the Obese Surgical Patient. Springer, Milano. https://doi.org/10.1007/978-88-470-2634-6_19
Download citation
DOI: https://doi.org/10.1007/978-88-470-2634-6_19
Published:
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2633-9
Online ISBN: 978-88-470-2634-6
eBook Packages: MedicineMedicine (R0)