Management of perioperative volume therapy - monitoring and pitfalls

Korean J Anesthesiol. 2020 Apr;73(2):103-113. doi: 10.4097/kja.20022. Epub 2020 Feb 28.

Abstract

Over 300 million surgical procedures are performed every year worldwide. Anesthesiologists play an important role in the perioperative process by assessing the overall risk of surgery and aim to reduce the risk of complications. Perioperative hemodynamic and volume management can help to improve outcomes in perioperative patients. There has been ongoing discussion about goal-directed therapy. However, there is a consensus that fluid overload and severe fluid depletion in the perioperative period are harmful and can lead to adverse outcomes. This article provides an overview of how to evaluate the fluid responsiveness of patients, details which parameters could be used, and what limitations should be noted.

Keywords: Cardiac output monitoring; Colloids; Crystalloid solutions; Hemodynamic monitoring; Hypotension; Volume therapy.

Publication types

  • Review

MeSH terms

  • Blood Volume / drug effects
  • Blood Volume / physiology*
  • Cardiac Output / drug effects
  • Cardiac Output / physiology
  • Crystalloid Solutions / administration & dosage
  • Fluid Therapy / methods*
  • Hemodynamics / drug effects
  • Hemodynamics / physiology
  • Humans
  • Monitoring, Intraoperative / methods*
  • Perioperative Care / methods*

Substances

  • Crystalloid Solutions