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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© 2011 Published by Elsevier Inc.
