Fluıd Treatment Methods Implemented in Perioperative Periods

Year 2017, Volume: 4 Issue: 1, 50 - 56, 08.02.2017

Perihan Şimşek , Dilek Çilingir

https://doi.org/10.17681/hsp.285894

Abstract

Ensuring adequate fluid therapy
in the perioperative period have a significant role on meeting the increased
metabolic requirements and the prevention of postoperative complications. In
general fluid treatment methods called as restrictive or liberal have been implemented
for maintaining fluid balance in the perioperative period. These methods are
based on calculation of the known or estimated fluid loss. In recent researches
have shown that  implemented fluid
therapy according to these methods may be excessive or insufficient and  may cause problems like fluid loading and
hypovolemia. Today to avoid all these
problems, individual goal directed fluid therapy is recommended in
perioperative period. In individual goal directed fluid therapy amount and type
of fluid to be applied have been selected  cosidering 
individual characteristics of patients and treatment have been implemented
under the guidance of determined hemodynamic criteria. In this article,
information concerning the implemented fluid treatment methods for surgical
patients in the perioperative period is presented.

Keywords

Perioperative period, surgery patient, monitoring

Ameliyat Sürecinde Uygulanan Sıvı Tedavisi Yöntemleri

Abstract

Ameliyat sürecini kapsayan dönemde uygun sıvı
tedavisinin sağlanması, artan metabolik gereksinimlerin karşılanması ve
ameliyat sonrası dönemde komplikasyonların önlenmesinde önemli role sahiptir.
Genel olarak ameliyat sürecinde sıvı dengesinin sürdürülebilmesi için serbest
ya da kısıtlayıcı olarak adlandırılan sıvı tedavisi yöntemleri uygulanmaktadır.
Bu yöntemler, bilinen ya da tahmin edilen sıvı kayıplarının hesaplanması ve
karşılanması esasına dayanmaktadır. Son yıllarda yapılan çalışmalar, bu
yöntemlere göre uygulanan sıvı tedavilerinin aşırı ya da yetersiz olabildiğini
ve sıvı yüklemesi ya da hipovolemi gibi sorunlara neden olabildiğini göstermektedir.
Günümüzde tüm bu sorunların önlenebilmesi için ameliyat sürecini kapsayan
dönemde bireye özgü hedefe yönelik sıvı tedavisi önerilmektedir. Bireye özgü
hedefe yönelik sıvı tedavisinde uygulanacak sıvının miktarı ve cinsi hastaların
bireysel özellikleri dikkate alınarak seçilmekte ve tedavi belirlenen hemodinamik
ölçütlerin rehberliğinde uygulanmaktadır. Bu makalede, ameliyat sürecini
kapsayan dönemde uygulanan sıvı tedavisi yöntemlerine ilişkin bilgi
sunulmaktadır

Keywords

Ameliyat süreci, cerrahi hasta, izlem

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