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Fluids

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Khalid

1. Perioperative fluid therapy aims to maintain hemodynamic stability and organ perfusion. Fluid requirements depend on maintenance needs, deficits from fasting or drainage, third spacing from surgery, and blood or other losses. 2. Transfusion is considered when hemoglobin levels compromise oxygen delivery, depending on patient tolerance. Blood groups and cross-matching guide compatible transfusions to avoid reactions. Component therapy allows targeted treatment with specific blood products. 3. Careful fluid and transfusion management can prevent complications like hypotension, edema, and transfusion reactions from improper products or volumes. Alternatives like autologous donation or blood substitutes aim to reduce donor dependence.

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PERIOPERATIVE FLUID THERAPY Department of Anesthesiology &ICU KKUH. King Saud University
Total Body Water (TBW) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Body Water Compartments ,[object Object],[object Object],[object Object],[object Object]
Fluid and Electrolyte Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid and Electrolyte Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Evaluation of Fluid Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Orthostatic Hypotension ,[object Object],[object Object],[object Object],[object Object]
Perioperative Fluid Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1- Maintenance Fluid Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2- NPO and other deficits ,[object Object],[object Object],[object Object]
3- Third Space Losses ,[object Object],[object Object]
Replacing Third Space Losses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4- Blood Loss ,[object Object],[object Object]
5- Other additional losses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Example ,[object Object],[object Object],[object Object],[object Object]
Example (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Fluids: ,[object Object],[object Object],[object Object],[object Object]
Crystalloids ,[object Object],[object Object],[object Object],[object Object]
Colloids ,[object Object],[object Object],[object Object]
Hypertonic Solutions ,[object Object],[object Object],[object Object]
Composition
Clinical Evaluation of Fluid Replacement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Transfusion Therapy ,[object Object],[object Object]
When is Transfusion Necessary? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen Delivery (cont.) ,[object Object],[object Object],[object Object],[object Object]
Blood Groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cross Match ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type and Screen ,[object Object],[object Object],[object Object],[object Object]
Component Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Packed Red Blood Cells ,[object Object],[object Object],[object Object]
Platelet Concentrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F resh F rozen P lasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Blood Therapy ,[object Object],[object Object],[object Object]
Complications of Blood Therapy (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Acute Hemolytic Reactions ,[object Object],[object Object],[object Object]
Autologous Blood ,[object Object],[object Object],[object Object],[object Object],[object Object]
Administering Blood Products ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alternatives to Blood Products ,[object Object],[object Object]
Autotransfusion ,[object Object],[object Object],[object Object],[object Object]
Blood Substitutes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Substitutes (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Substitutes (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Therapy Summary ,[object Object],[object Object],[object Object],[object Object]

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Fluids

  • 1. PERIOPERATIVE FLUID THERAPY Department of Anesthesiology &ICU KKUH. King Saud University
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