Mehrdad Nikfarjam

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Outcomes Balanced crystalloid solutions: • Fewer complications • Fewer postoperative infection • Fewer renal failure requiring dialysis • Fewer blood transfusion • Fewer electrolyte disturbance • Lower acidosis • Fewer intervention
Balanced Crystalloids Plasma Plasma-Lyte Hartmanns Normal Saline mmol/L mmol/L mmol/L mmol/L Sodium 136 – 145 140 129 154 Potassium 3.5 – 5.0 5.0 5.0 Magnesium 0.8 – 1.0 1.5 Calcium 2.2 – 2.6 2.5 Chloride 98 – 106 98 109 154 Acetate 27 Gluconate 23 Lactate 29 osmolarity mOsmol/l 290 – 310 295 274 308 pH 7.4 7.4 5.5-6.2 5.5-6.2
Page 1 and 2: Fluid Sparing Regimens in Surgery M
Page 3 and 4: • 40-50 Major liver resections
Page 5 and 6: Perioperative Fluids What type of f
Page 7 and 8: Terminology • “Restrictive” t
Page 10 and 11: Postoperative weight gain Chappel.
Page 12 and 13: Why develop Fast track programs for
Page 14 and 15: University of Melbourne Department
Page 16 and 17: Percentage (%) Complications P=0.00
Page 18 and 19: Overall (n=41) Fast-track group (n=
Page 20 and 21: Fluids Balance (L) Fluid Balance P=
Page 22 and 23: Factors influencing length of stay
Page 24 and 25: Epidural and outcomes • Epidural
Page 26 and 27: Epidural use during pancreaticoduod
Page 28 and 29: Perioperative Fluids What type of f
Page 30 and 31: CVP does not predict fluid responsi
Page 32: Pressure ≠ Flow • Resuscitation
Page 36: Anaesthesia Goals Mobilisation & Co
Page 42 and 43: • Goal directed therapy versus li
Page 44: Guidelines on Intravenous Fluid The
Page 49 and 50: Colloids Plasma Gelofusine Albumin
Page 51: Conclusions • Patient specific &

Mehrdad Nikfarjam

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