Akademik Veri Yönetim Sistemi
Advances in PACU (Post Anesthesia Care Unit), Ahmet Sen, Editör, NOVA Science Publishers Inc. , New York, ss.27-41, 2022
Major surgery may be associated with significant loss of intravascular fluids,
electrolytes, and blood. If not, patient comorbidities, or surgical or anesthetic techniques
may render the patient to a hypovolemic state. It is very common to infuse fluids during
and after surgery, whenever hypotension ensues. However, if fluids are overused, the
fluid creep may aggravate hemodilutional coagulopathy and tissue edema, which give
rise to further bleeding, organ injuries, delayed wound healing, and infections.
It is imperative to continuously reassess the volume status of the patient and consider
or measure the effect of each intervention or complication on the hemodynamic status of
the patient. Evolving hemodynamic monitors look promising, when combined with the
history and physical examination of the patient. Specifically, the effect of the mechanical
ventilator and the analgesic medications should be included in the assessment of the
intravascular volume of the patient.