Fluid management has progressed rapidly in the last three decades. Current regimens are sufficient to restore systemic perfusion in the majority of patients undergoing surgery. Further progress is needed in the prehospital management and in the fluid management of patients with intracranial hypertension. Will clinicians routinely use hypertonic or combination hypertonic/hyperoncotic fluids for resuscitation in the future? At present, there is no clear answer. Pending further preclinical work, the theoretical advantages of such fluids appear most attractive in acute resuscitation of hypovolemic patients with decreased intracranial compliance.
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine