Rodrigo Casanova M P, García Peña J M, Lomillos Rafols V, De Luis Cabezón N, Aguilera Celorrio L
Servicio de Anestesiología y Reanimación, Hospital de Basurto, Bilbao.
Rev Esp Anestesiol Reanim. 2010 Nov;57(9):575-85. doi: 10.1016/s0034-9356(10)70285-1.
Physiologic balance between fluids and electrolytes should remain stable during the perioperative period. Gaps in our understanding of how this balance is maintained has given rise to inappropriate management practices. Both failure to replace lost fluids and the infusion of excessive amounts can lead to serious consequences for the patient. There is currently renewed interest in studying the best use of fluids and/or blood products during and after surgery. This update of perioperative fluid therapy is based on a review of indexed literature retrieved by means of a PubMed search for the period of January 1999 through December 2009.
在围手术期,体液与电解质之间的生理平衡应保持稳定。我们对维持这种平衡方式的认知不足导致了不恰当的管理方法。未能补充流失的液体以及输注过量液体都会给患者带来严重后果。目前,人们对研究手术期间及术后液体和/或血液制品的最佳使用方法重新产生了兴趣。本围手术期液体治疗的更新内容基于对通过PubMed搜索1999年1月至2009年12月期间检索到的索引文献的综述。