Heart, Lung and Circulation
Abstract| Volume 20, ISSUE 4, P264, April 2011

Fluid Administration After Cardiac Surgery and Morbidity

      Introduction: The operative phase of cardiac surgery invariably involves manipulation of haemodynamics. In turn, the inflammatory milieu of the recovery phase shifts fluid between fluid compartments in rapid order. Approaches to fluid management vary from conservative through to liberal fluid administration regimens, with varying emphasis placed on calculated fluid balances and daily weight measurements as markers of fluid accumulation. Recent evidence suggests that in major non-cardiac surgery, and in respiratory admissions to intensive care, that a conservative fluid management strategy results in shorter: ventilation times, ICU length of stay and anastomotic leak rates.
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