The maintenance and monitoring of perioperative blood volume

Takehiko Iijima; Birgitte Brandstrup; Peter Rodhe; Audrius Andrijauskas; Christer H Svensen

doi:10.1186/2047-0525-2-9

The maintenance and monitoring of perioperative blood volume

Takehiko Iijima, Birgitte Brandstrup, Peter Rodhe, Audrius Andrijauskas, Christer H Svensen

Department of Clinical Medicine

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Abstract

The assessment and maintenance of perioperative blood volume is important because fluid therapy is a routine part of intraoperative care. In the past, patients undergoing major surgery were given large amounts of fluids because health-care providers were concerned about preoperative dehydration and intraoperative losses to a third space. In the last decade it has become clear that fluid therapy has to be more individualized. Because the exact determination of blood volume is not clinically possible at every timepoint, there have been different approaches to assess fluid requirements, such as goal-directed protocols guided by invasive and less invasive devices.This article focuses on laboratory volume determination, capillary dynamics, aspects of different fluids and how to clinically assess and monitor perioperative blood volume.

Original language	English
Article number	9
Journal	Perioperative Medicine
Volume	2
Number of pages	12
ISSN	2047-0525
DOIs	https://doi.org/10.1186/2047-0525-2-9
Publication status	Published - 2013

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2047-0525-2-9Final published version, 748 KBLicence: CC BY

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AU - Iijima, Takehiko

AU - Brandstrup, Birgitte

AU - Rodhe, Peter

AU - Andrijauskas, Audrius

AU - Svensen, Christer H

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AB - The assessment and maintenance of perioperative blood volume is important because fluid therapy is a routine part of intraoperative care. In the past, patients undergoing major surgery were given large amounts of fluids because health-care providers were concerned about preoperative dehydration and intraoperative losses to a third space. In the last decade it has become clear that fluid therapy has to be more individualized. Because the exact determination of blood volume is not clinically possible at every timepoint, there have been different approaches to assess fluid requirements, such as goal-directed protocols guided by invasive and less invasive devices.This article focuses on laboratory volume determination, capillary dynamics, aspects of different fluids and how to clinically assess and monitor perioperative blood volume.

U2 - 10.1186/2047-0525-2-9

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ER -

The maintenance and monitoring of perioperative blood volume

Abstract

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