Perioperative Fluid: How Much is Not Too Much?

The objective of perioperative fluid administration is to maintain or restore adequate hydration, blood volume, oxygen delivery, renal function, electrolyte balance, and hepatic circulation during surgery, while preventing perioperative hypovolemia and hypervolemia (perioperative fluid overload).

Based on individual needs, IV fluid should only be given in accordance with a well-defined regimen. Appropriate IV fluid therapy is a crucial component in many perioperative protocols and should enhance perioperative results.

The perioperative phase is divided into three different stages: preoperative, intraoperative, and postoperative. During the first phase, patients are recommended to drink clear fluids approximately 2 hours before operation. In the second phase, all patients should have a fluid and hemodynamic management plan that includes a fluid restrictive strategy/zero balance as well as goal-directed fluid therapy for moderate to high risk patients.

Postoperative fluid therapy enables adequate organ perfusion, inhibits catabolism, and maintains electrolyte and pH-balance in patients with severe blood loss during the third phase. Otherwise all patients are advised to eat and drink as soon as feasible after surgery, and IV fluids are stopped.

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MedPiper Technologies and JournoMed in association with ISA Thrissur City Branch are conducting a webinar titled “Perioperative Fluid: How Much is Not Too Much?” which will explore everything about perioperative fluid and its roles in surgery.

The event will be held on Tuesday 12th April, 2021 at 7:30 PM. Register in advance for this webinar hereAfter registering, you will receive a confirmation email containing information about joining the webinar. For further support, reach out at 

Expert Speaker: Dr. SHALINI SAKSENA

Director of Onco-Anaesthesia and Onco Pain Management at Nanavati Max Institute of Cancer Care,  Nanavati Max Super-Speciality Hospital, Mumbai. 

Two types of fluid solutions are used in the operating room: crystalloids and colloids. Crystalloids are electrolyte and sterile water solutions that can be isotonic, hypotonic, or hypertonic to plasma, whereas colloids are human plasma derivatives (human albumin, hydroxyethyl starch, gelatins). Apart from the intraoperative fluids listed above, blood products (RBSs, plasma derivatives) are also transfused in adults. The webinar will cover distribution of IV fluids in various body compartments. The event will also comprehensively explore the type, quantity, endpoint and the associated difficulties of perioperative fluid shifting.

Update: The post event summary of the webinar is available to read here.

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