Fluid management: An update for perioperative practitioners. Issue 3 (March 2021)

• Record Type: Journal Article
• Authors: Wood, Christopher
• Is Part Of: Journal of perioperative practice. Volume 31:Issue 3(2021)
• Page Start: 71
• Page End: 79
• Publication Date: 2021-03
• Subjects: Fluid management -- Perioperative practitioners -- Physiology -- Perioperative outcome -- Intravenous fluids; Operating room nursing -- Periodicals; 617.9192
• DOI: 10.1177/1750458920964174
• Languages: English
• ISSNs: 2515-7949

Abstract

An interprofessional team approach is required to achieve optimum fluid balance for patients during the perioperative period. Incorrect management of fluid assessment and monitoring is associated with adverse outcomes. The scientific understanding of perioperative fluid balance has improved over recent years leading to changes in clinical practice with regard to volume and choice of intravenous fluid. It is important that perioperative practitioners have an understanding of intravenous fluid, fluid compartmentalisation, fluid mechanics and intravascular fluid control mechanisms. Optimum fluid status not only shortens hospital stay but also reduces the incidence of postoperative nausea and vomiting and complication profiles. This article aims to provide perioperative practitioners with a comprehensive overview of fluid management. It will cover important issues surrounding physiological control of fluid balance, choice of intravenous fluid therapy, methods to monitor intravascular volume and factors which influence delivery.