Perioperative Fluid Management

ABSTRACT

Many colorectal surgeons rely on traditional theories and approaches in addressing perioperative fluid management issues. Often, their training and instincts favor over-resuscitation, especially after bowel or emergent colorectal procedures. However, data are now emerging to support the use of more restrictive approaches to perioperative fluid administration—though uncertainties still exist as to which fluids are optimal, and how and when they should be administered. This article provides a focused, evidence-based review on this topic—highlighting critical considerations that clinicians may wish to address to improve patient outcomes following colorectal surgery.

KEYWORDS

Perioperative management - fluid restriction - fluid replacement - crystalloid - colloid

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