IV fluid replacement

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Intravenous literature: Med page today report “Excessively restricting fluid replacement during major abdominal surgery may increase the risk of postoperative complications, a randomized trial found. The trial of 70 patients found that limiting fluids to a goal of 6 mL/kg per hour of crystalloid was associated with a significantly higher incidence of postop complications — including anastomotic leaks and sepsis — compared with a more conservative strategy of giving 12 mL/kg per hour (P<0.05), according to Emmanuel Futier, MD, of the University Hospital of Clermont-Ferrand, France, and colleagues.

The risk of the restrictive fluid strategy appeared to be linked to increased hypovolemia leading to reduced oxygen saturation, Futier and co-authors wrote in the Archives of Surgery.”

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