Medicine Made Simple

Fluid Therapy for Surgical Patient


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A comprehensive overview of fluid therapy in surgical and critically ill patients, covering a wide range of topics from basic physiology to advanced monitoring techniques. The content explains the principles of fluid balance, regulatory mechanisms, and electrolyte management, including the revised Starling principles involving the endothelial glycocalyx. It also discusses various infusion fluids, such as crystalloids, colloids, and blood products, outlining their uses, compositions, and potential drawbacks, such as the risks associated with hydroxyethyl starch (HES) and excessive chloride. A major theme is goal-directed fluid therapy (GDFT), detailing the technologies and protocols used to optimize hemodynamic status, particularly in high-risk, trauma, and pediatric populations, advocating for individualized and often restrictive approaches to avoid both hypovolemia and fluid overload.

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Medicine Made SimpleBy Medicine Made Simple