Background: Perioperative fluid management is an important consideration through out the whole surgical pathway and optimal fluid management should be viewed as acontinution through out the patient 's whole hospital admission. This study aimed to review recent studies in adjustment of fluids in perioperative period to maintain and restore tissue fluid and electrolytes hemeostasis and central euvolemia. Methods: The search was performed in MEDLINE, Embase, Pubmed and CINAHL Plus in the same date range with the following mediacl terms: “Perioperative; Fluid Management; Intensive care; Anesthesia”,including articles from 2000 to 2020, Results and conclusion: liberal fluid administrations of up to 20 or 30 ml/kg/h might confer some benefits in ambulatory patients (such as decreasing postoperative drowsiness, nausea, and pain), international guidelines recommend that maintenance fluids should be given at 1–2 ml/kg/h for all longer or more major operations. The fluid challenge remains one of the single most important tools for the anesthetist in assessing fluid responsiveness . If the patient is fluid deplete and can tolerate further fluids ,then asmall but rapid fluid bolus should increase preload enough to cause measurable increase in stroke volume and cardiac output ,a positive response proves that the patient is fluid or volume responsive. Fluid managment through enhanced recovery pathways, or through goal directed approach has both been show to reduce post operative complications |
