Book contents
- Frontmatter
- Contents
- List of Contributors
- Foreword by Jean-Louis Vincent
- Preface
- Section 1 Hemodynamic Monitoring in the Perioperative Period
- Section 2 Basic Science & Concepts in Fluid Therapy
- Section 3 Practical Use
- 11 Outcome and Organ Dysfunction after Major Surgery
- 12 Perioperative Goal-Directed Hemodynamic Therapy
- 13 Fluid Responsiveness Assessment
- 14 Intra-Abdominal Surgery
- 15 Fluid and Hemodynamic Monitoring in Pulmonary Surgery
- 16 Fluid Management in Cardiac Surgery
- 17 Fluid and Hemodynamic Monitoring in Brain Surgery
- 18 Fluid and Hemodynamic Monitoring in Trauma
- 19 Fluid and Hemodynamic Monitoring in Pediatrics
- 20 Fluid Therapy for Liver and Renal Transplantation
- 21 Fluid and Hemodynamic Monitoring in Burns
- Section 4 Future Directions
- Index
14 - Intra-Abdominal Surgery
from Section 3 - Practical Use
Published online by Cambridge University Press: 11 April 2024
- Frontmatter
- Contents
- List of Contributors
- Foreword by Jean-Louis Vincent
- Preface
- Section 1 Hemodynamic Monitoring in the Perioperative Period
- Section 2 Basic Science & Concepts in Fluid Therapy
- Section 3 Practical Use
- 11 Outcome and Organ Dysfunction after Major Surgery
- 12 Perioperative Goal-Directed Hemodynamic Therapy
- 13 Fluid Responsiveness Assessment
- 14 Intra-Abdominal Surgery
- 15 Fluid and Hemodynamic Monitoring in Pulmonary Surgery
- 16 Fluid Management in Cardiac Surgery
- 17 Fluid and Hemodynamic Monitoring in Brain Surgery
- 18 Fluid and Hemodynamic Monitoring in Trauma
- 19 Fluid and Hemodynamic Monitoring in Pediatrics
- 20 Fluid Therapy for Liver and Renal Transplantation
- 21 Fluid and Hemodynamic Monitoring in Burns
- Section 4 Future Directions
- Index
Summary
This chapter considers perioperative fluid therapy in abdominal surgical patients.
A fluid resembling the loss in quantity and electrolyte composition should replace both normal and pathological fluid losses.
Elective surgical patients should eat up to 6 hours and drink up to 2 hours before surgery. Sugar- containing fluids (oral or IV) improve postoperative well-being and muscle strength, and decrease insulin resistance. Length of stay, complications, or mortality is not reduced.
Surgery does not increase the normal fluid and electrolyte losses.
It is not possible to treat a decrease in blood pressure caused by the use of epidural analgesia with fluid.
The goal of <2 liter positive fluid balance is to reduce postoperative complications and risk of death in major abdominal surgery.
A goal of near maximum stroke volume does not provide a better outcome.
In outpatient surgery, 1 liter of IV fluid improves postoperative well-being. The role of glucose-containing fluid in this setting may be beneficial.
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- Hemodynamic Monitoring and Fluid Therapy during Surgery , pp. 149 - 167Publisher: Cambridge University PressPrint publication year: 2024