Intraoperative fluid losses revisited

Abstract

SUMMARY Intravenous fluid therapy is an essential element of surgical procedures. However, consensus regarding the optimal volume and composition of fluid is still lacking. Despite increasing evidence that aggressive crystalloid-based resuscitation is associated with several complications large volumes are still used peroperatively. The aim of this paper is to investigate the pathophysiology behind fluid losses and how to best administer peroperative fluids in appropriate amounts.