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Rational use of Volume Replacement Fluids in Patients of Oral and Maxillofacial Surgery

Abstract

Introduction

Fluid resuscitation is fundamental for the management of general trauma, hemorrhagic shock, and generalized infections. The aim of this article is to guide surgeons in the choice of fluids for fluid resuscitation in oral and maxillofacial surgery patients by providing practical and objective guidelines, with specific indications derived from various hospital situations.

Materials and Methods

Crystalloid solutions such as 0.9% saline and Ringer’s lactate are first-choice fluids in multiple clinical situations such as facial trauma with or without major blood loss, during the preoperative period of elective surgeries, and in cases of septic shock because of their wide availability, low cost and better physiological dilution. The administration to oral and maxillofacial surgery patients is an ongoing challenge in terms of indicating the best solution for each situation since no established protocols are available in the literature; consequently, the choice is mainly based on institutional practice and surgeon’s preferences.

Conclusion

Decision for fluid resuscitation should be made based on the individual needs of each patient and the procedure to be performed.

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Funding

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Emerson Filipe de Carvalho Nogueira substantially contributed to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; and drafting the work or revising it critically for important intellectual content. Priscila Lins substantially contributed to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work. Altemir Filho was involved in drafting the work or revising it critically for important intellectual content. Bergson Carvalho assisted in all procedures and helped write the article. Thaisa Freitas was involved in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Ricardo Vasconcellos was involved in final approval of the version to be published.

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Correspondence to Emerson Filipe de Carvalho Nogueira.

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de Carvalho Nogueira, E.F., Aguiar, P.L., de Freitas, T.T.F.S. et al. Rational use of Volume Replacement Fluids in Patients of Oral and Maxillofacial Surgery. J. Maxillofac. Oral Surg. (2021). https://doi.org/10.1007/s12663-021-01655-5

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Keywords

  • Crystalloid solutions
  • Saline solution
  • Maxillofacial injuries