MODERN IDEAS OF PERIOPERATION INFUSION THERAPY STRATEGIES

Abstract

The outcome of surgery, risk of postoperative complications largely depend on the adequate strategy of perioperative infusion therapy. Opposing the role and position of colloid and crystalloid solutions in infusion therapy and low awareness of the composition and properties of various solutions among doctors including intensivists have been causing significant problems in the administration of infusion therapy originating from inadequate interpretation of the concepts of volume and liquid substitution for decades. 

Keywords

infusion therapy / colloids / balanced crystalloid / endothelial glycocalyx

References

[1] 1. Горобец Е. С. Периоперационная инфузионная терапия: модернизация подходов, спорные вопросы и новые проблемы // Вестник интенсивной терапии, 2014; №4: 30–39.

[2] 2. Mythen M. G., Swart M., Acheson N., Crawford R. Perioperative fluid management: Consensus statement from the enhanced recovery partnership // Perioperative Medicine, 2012, 1:2.

[3] 3. Shepherd S. J., Pearse R. M. Role of central and mixed venous oxygen saturation measurement in perioperative care // Anesthesiology, 2009, 111: 649–656.

[4] 4. Corcoran T., Rhodes J. E., Clarke S., Myles P. S., Ho K. M. Perioperative fluid management strategies in major surgery: a stratified meta-analysis // Anesth Analg. 2012 Mar;114 (3):640–51.

[5] 5. Анестезия в педиатрии. Пособие для врачей / Ю. С. Александрович, К. В. Пшениснов, В. И. Гордеев. Санкт- Петербург: ЭЛБИ-СПб., 2013.

[6] 6. Bundgaard-Nielsen M., Secher N. H., Kehlet H. «Liberal» vs. «restrictive» perioperative fluid therapy – a critical assessement of the evidence // Acta Anaesthesiol Scand 53: 843–851.

[7] 7. Biijer J. B., van Klei W. A., VergouweY., et al. Intraoperative hypotension and 1-year mortality after noncardic surgery // Anesthesiology 2009; 111: 1217–1226.

[8] 8. Mayer K., Trzeciak S., Puri N. K. Assessment of the adequacy of oxygen delivery // Curr Opin Crit Care. 2016 Oct; 22 (5):437–43.

[9] 9. Latta T. Relative to the treatment of the cholera by the copious injection of aqueous and saline fluids into the veins // Lancet 2, 1831, pp. 274–27.

[10] 10. Wilcox C. S., Peart W. S. Release of renin and angiotensin II into plasma and lymph during hyperchloremia // Am J PhysiolRenalPhysiol. 1987;253: F734 – F741.

[11] 11. Zazzeron L., Gattinoni L., Caironi P. Role of albumin, starches and gelatins versus crystalloids in volume resuscitation of critically ill patients // Curr Opin Crit Care. 2016 Oct;22 (5):428–36. doi: 10.1097/MCC.0000000000000341.

[12] 12. Hahn R. G., Lyons G. The half-life of infusion fluids // Eur J Anaesthesiol 2016; 33: 475–482.

[13] 13. Jacob M., Rehm M., Orth V. Exact measurement of the volume effect of 6% hydroxyethyl starch 130/0,4 during acute preoperative normovolemichemodilution // Anesthesist 2003; 52: 896–904.

[14] 14. Сhappell D., Jacob M., Becker B. F., et al. Expedition glycocalyx. A newly discovered «Great Barrier Reef» // Anaesthesist. 2008 Oct; 57 (10): 959–969.

[15] 15. Becker B. F., Chappell D., Bruegger D., Annecke T., Jacob M. Therapeutic strategies targeting the endothelial glycocalyx: acute deficits, but great potential // Cardiovascular Research 2010; 87:300–10.

[16] 16. Максименко А.В., Турашев А.Д. Эндотелиальный гликокаликс системы кровообращения // Биоорганическая химия, 2014. Tом 40. №2. C. 131–141.

RIGHTS & PERMISSIONS

Matinyan N.V., Martynov L.A.