Intraoperative Fluid Management and Blood Transfusion Essentials

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Perioperative Fluid Stressors (cont) • Patient’s Patient s primary disease causes intravascular fluid excess: poorly controlled congestive heart failure, renal failure overdue for dialysis, pre-eclampsia pre- eclampsia (can go either way – hypovolemia or hypervolemia) hypervolemia • Postoperative nausea or vomiting delays resumption of p.o. p.o. fluid intake
Perioperative Fluid “stressors stressors” (cont) • Intraoperative fluid losses can be obvious or subtle • Obvious: bleeding in surgical field • Subtle: Evaporative losses from exposed peritoneal surfaces, sequestration of fluid in extravascular extracellular space(so- called “third third spacing”), spacing ), sympathectomy from spinal or epidural anesthesia
Page 1 and 2: Intraoperative Fluid Management and
Page 3: Perioperative Fluid “Stressors St
Page 7 and 8: Fluid Deficit (cont) • So an 80 k
Page 9 and 10: Third Spacing • Controversial Sub
Page 11 and 12: So is third third spacing overrated
Page 13 and 14: Rational Fluid Management Plan for
Page 15 and 16: Crystalloids • Approximately 25%
Page 17 and 18: Fluid Fluid D5W 0.9% N.S. L.R. Norm
Page 19 and 20: • LR: Which crystalloid to select
Page 21 and 22: Introduction to Transfusion RBCs, R
Page 23 and 24: Therapeutic Dilemma Anemia is bad
Page 25 and 26: Other infectious complications of t
Page 27 and 28: Metabolic Complications of Transfus
Page 29 and 30: Anemia in Elective Surgical Patient
Page 31 and 32: So Goodnough et al. are recommendin
Page 33 and 34: ASA Practice Guidelines • Transfu
Page 35 and 36: RBC Transfusion Modifiers Primary a
Page 37 and 38: Indications for Fresh-frozen plasma
Page 39 and 40: Fibrinogen concentration vs blood v
Page 41 and 42: Platelet transfusion won’t won t

Intraoperative Fluid Management and Blood Transfusion Essentials

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