Sıvı Tedavisinde Güncel Uygulamalar: Dün ve Bugün

Öz

Bu makalenin amacı, intraoperatif sıvı tedavilerini gözden geçirmek ve intraoperatif sıvı ilkelerine farkındalığı artırmaktır. Perioperatif sıvı tedavisindeki öncelikleri ve literatürdeki son gelişmeleri de paylaşarak uygulamaları gözden geçirmeyi amaçladık.Cerrahi girişim uygulanacak olan tüm hastalarda, sıvı yönetimi için tek tip bir uygulama yoktur. Cerrahi girişimlerde sıvı tedavisinin, ameliyat sırasında hemodinamik monitörizasyona ve hastanın gereksinimlerine göre düzenlenmesi önerilmektedir. Yeterli ekipman ve yeterli klinik tecrübesi olan bir anestezistin olması bireye özgü hedefe yönelik sıvı tedavi uygulamasını artıracak önemli bir faktördür. Bizim çalışmamızda standart sıvı tedavisine göre yaptığımız hesaplamanın altında sıvı replasmanı yapıldığını görmekteyiz. Ancak hâlâ liberal sayılabilecek düzeylerde gezen sonuçlarımız için hemodinamik monitorizasyon yöntemlerinin özellikle ihtiyacı olan hastalarda daha sık kullanılmasına ve seçilmiş hasta gruplarında hastanın sıvı gereksinimlerine dikkat edilerek replasman yapılmasına özen gösterilmesinin faydalı olacağını düşünmekteyiz

Anahtar Kelimeler

• Liberal - Kısıtlayıcı Sıvı Tedavisi, Sıfır - Balans Sıvı Tedavisi, Perioperatif Sıvı Yönetimi

Current Applications in Fluid Therapy: Yesterday and Today

Abstract

The aim of this article was to review intraoperative fluid therapies and to raise awareness of intraoperative fluid principles. We aimed to review the priorities in perioperative fluid therapy and to discuss the recent developments in the literature.There is no uniform application for fluid management for patients undergoing surgical intervention. In surgical procedures, it is recommended that fluid therapy be adjusted according to hemodynamic monitoring and patient needs during surgery. The presence of an anesthesiologist with adequate equipment and sufficient clinical experience is an important factor that will increase the use of individual-specific fluid therapy. In our study, fluid replacement was performed under standard fluid treatment. However, as regards our results, which still can be considered liberal, we think that it can be useful to use hemodynamic monitoring methods more frequently in patients who need them, and it would also be useful to pay attention to the fluid requirements of the patient

Keywords

• Liberal - Restrictive Fluid Therapy, Zero - Balance Fluid Therapy, Perioperative Fluid Management

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