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Perioperative Intravenous Fluid Therapy

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Basic Sciences in Anesthesia

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Abstract

The goal of this chapter is to provide an overview of both major types of resuscitation fluids: crystalloids and colloids. This includes a discussion of types of crystalloids and indications for the use of specific types of crystalloids. In addition, an overview of commonly used colloids (albumin and hetastarches) and their side effects is included. The concept of early goal-directed fluid therapy and the literature supporting its use is also presented. Finally, the difference between static and dynamic parameters of fluid responsiveness is discussed, including a description of the only available dynamic measure of fluid responsiveness in spontaneously breathing patients: the passive leg raising test. In a nutshell, the chapter reviews choice of fluid resuscitation type, amount of fluid that should be given, and mechanisms to assess adequacy of fluid resuscitation.

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Author information

Authors and Affiliations

  1. Center for Anesthesiology Education, Cleveland Clinic, Cleveland, OH, USA

    Marta Kelava

  2. College of Medicine, University of Cincinnati Hospital, Cincinnati, OH, USA

    David S. Youssef

  3. Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine, Center for Anesthesiology Education, Vice Chair for Education, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA

    Maged Argalious

Authors
  1. Marta Kelava
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  2. David S. Youssef
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  3. Maged Argalious
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Corresponding author

Correspondence to Maged Argalious .

Editor information

Editors and Affiliations

  1. Departments of General Anesthesia and Outcomes Research, Anesthesiology Institute, Cleveland Clinic Lerner College of Medicine, Case Western University, Cleveland, OH, USA

    Ehab Farag

  2. Center for Anesthesiology Education, Anesthesiology Institute, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    Maged Argalious

  3. Department of General Anesthesia, Anesthesiology Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA

    John E. Tetzlaff

  4. Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA, USA

    Deepak Sharma

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Kelava, M., Youssef, D.S., Argalious, M. (2018). Perioperative Intravenous Fluid Therapy. In: Farag, E., Argalious, M., Tetzlaff, J.E., Sharma, D. (eds) Basic Sciences in Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-62067-1_15

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  • DOI: https://doi.org/10.1007/978-3-319-62067-1_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62065-7

  • Online ISBN: 978-3-319-62067-1

  • eBook Packages: MedicineMedicine (R0)

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