Perioperative Fluid Management

This revised and expanded second edition presents the most recent evidence-based facts on perioperative fluid management and discusses fluid management from basic sciences to clinical applications and the patients’ outcomes. Recent advances in understanding the Revised Starling principle with new concepts in tissue perfusion and the most recent techniques of perioperative goal directed fluid management are described. The endothelial glycocalyx functions and the influence of fluid management on its integrity are covered in detail; moreover, the techniques for its protection are also discussed. The dilemma of perioperative use of hydroxyethyl starch solutions and the resurgence of interest in using human albumin as an alternative colloid is explored. The problems of using unbuffered solutions during the perioperative period and comparison between restrictive versus liberal fluid management are discussed in full. Lastly, case scenarios for every possible clinical situation describe the most up-to-date fluid management for the corresponding clinical problem. Perioperative Fluid Management, Second Edition is of interest to anesthesiologists and also intensivists.

About the Author

Dr Andrea Kurz MD is Vice-Chair for Research within the Anesthesiology Institute, Cleveland Clinic, OH, USA. She is a well-published author and internationally-recognized speaker.

Dr. Christopher A. Troianos MD, FASE, FASA is Professor and Chair of the Anesthesiology Institute at Cleveland Clinic and Cleveland Clinic Lerner College of Medicine, in Cleveland, OH, USA. He is Past-President of Society of Cardiovascular Anesthesiologists, President-Elect of the National Board of Echocardiography, and an internationally-recognized speaker in perioperative echocardiography, cardiothoracic anesthesia, and practice management economics.