IV fluids during surgery
| Autor: | S.J. Keens, I.T. Campbell, J.N. Baxter, G.T. Taylor, I.E. Tweedie |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Plasma Substitutes Renal function Urination Blood Pressure Intraoperative Period Random Allocation Abdomen Medicine Humans Infusions Intravenous Body fluid business.industry Bowel resection Crystalloid Solutions Water-Electrolyte Balance medicine.disease Thymol Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Glucose Anesthesia Fluid Therapy Isotonic Solutions business Hyponatremia Perfusion Abdominal surgery Low sodium |
| Zdroj: | British journal of anaesthesia. 65(5) |
| ISSN: | 0007-0912 |
| Popis: | During an attempt to measure renal function during operation in six patients undergoing major abdominal surgery involving intestinal resection and blood loss in excess of 300 ml, it became apparent that the conventional recommendation for i.v. crystalloid fluid of 5–10 ml kg−1 h−1 was not sufficient to maintain cardiovascular stability and urine output, but a volume of 15 ml kg−1 h−1, given to a subsequent six patients, was adequate. Administration of low sodium (glucose) solutions also produced biochemical abnormalities of a severity not documented previously. A survey of the published literature on volumes of crystalloid fluids used supports the contention that, during major surgery, crystalloid requirements may be of the order of 10–15 ml kg−1 h−1 rather than 5–10 ml kg−1 h−1. |
| Databáze: | OpenAIRE |
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