Title: ODRŽAVANJE RAVNOTEŽE TJELESNIH TEKUĆINA TIJEKOM OPERACIJE
Abstract: Total body water is about 60% of the body weight in adult and healthy human. This water is distributed between the extracellular and intracellular compartments. The extracellular compartment is still divided into interstitial, intravascular (plasma) and transcellular fluids. Intracellular and extracellular fluid are separated and maintain approximately constant volume, electrolyte and protein composition and acid-base status. Maintenance of the fluid balance is very important during the operation. During the perioperative period, the patient is not able to replace normal maintenance fluid requirements due to the inability of water and food intake. During the operation blood loss, fluid shifts and redistribution and insensible perspiration of the surgical wound also occur. Therefore, each patient during the operation requires intravenous fluid replacement to maintain balance of the body fluid, electrolyte and acid-base status to enhance recovery and decrease postoperative complications. Intravenous fluid administration will depend on the condition of the patient, his weight and comorbidities, but also about the invasiveness of the surgical procedure. Fluid replacement include administration of crystalloids, colloids or their combination in a different volumes. Goal directed fluid therapy is the best approach to fluid administration. It requires monitoring of dynamic hemodynamic parameters and it is based on patient’s individual fluid responsiveness. Goal directed fluid therapy improves postoperative outcomes providing adequate perfusion and oxygenation of the tissues and organs and preventing interstitial edema, cardiopulmonary and gastrointestinal complications related to fluid overload.
Publication Year: 2019
Publication Date: 2019-07-12
Language: en
Type: dissertation
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