Basics of Perioperative Fluid Requirements in Neurosurgical Patients

Shilpa Rao; Miriam M. Treggiari

doi:10.1007/978-981-19-0954-2_2

Basics of Perioperative Fluid Requirements in Neurosurgical Patients

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Patients scheduled for elective neurosurgical procedures present unique considerations regarding perioperative intravenous fluid management in the context of multiple distinctive factors encountered in this patient population. Commonly used indicators for adequate volume replacement such as urine output may be challenging to interpret due to concurrent use of diuretics, for example, mannitol. In this chapter, we discuss the basics of fluid physiology and blood-brain barrier mechanisms regulating fluid shifts. We also discuss preoperative factors contributing to hypovolemia in neurosurgical patients, assessment of volume status, and considerations for volume replacement.

Original language	English (US)
Title of host publication	Transfusion Practice in Clinical Neurosciences
Publisher	Springer Nature
Pages	11-17
Number of pages	7
ISBN (Electronic)	9789811909542
ISBN (Print)	9789811909535
DOIs	https://doi.org/10.1007/978-981-19-0954-2_2
State	Published - Jan 1 2022
Externally published	Yes

Keywords

Blood-brain barrier 4-2-1 rule
Intravascular volume

ASJC Scopus subject areas

General Medicine

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10.1007/978-981-19-0954-2_2

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Basics of Perioperative Fluid Requirements in Neurosurgical Patients

Abstract

Keywords

ASJC Scopus subject areas

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