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



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.


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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  1. 1.

    Misir A, Mehrotra S (2018) Fluid and medication considerations in the traumatized patient. Curr Pediatr Rev 14:9–27

    Article  Google Scholar 

  2. 2.

    Ferreira LGB (2011) Terapia de hidratação venosa. Revista Hospital Universitário Pedro Ernesto 10:73–85

    Google Scholar 

  3. 3.

    Saraghi M (2015) Intraoperative fluids and fluid management for ambulatory dental sedation and general anesthesia. Anesth Prog 62:168–177

    Article  Google Scholar 

  4. 4.

    Martin S, Alexa H, Eva GC et al (2019) The value of volume substitution in patients with septic and haemorrhagic shock with respect to the microcirculation. Swiss Med Wkly 149:1–11

    Google Scholar 

  5. 5.

    Peerless JR (2001) Fluid management of the trauma patient. Curr Opin Anaesthesiol 14:221–225

    CAS  Article  Google Scholar 

  6. 6.

    Chiara O, Bucchi L, Sara A, Bassi G et al (2008) Quality and quantity of volume replacement in trauma patients. Minerva Anestesiol 74:306–303

    Google Scholar 

  7. 7.

    Guerrero MG, Andrighetti GL (2011) Reposición de volumen em el politraumatizado. Rev Med Clin Condes 22(5):599–606

    Google Scholar 

  8. 8.

    Ribeiro MAF, Epstein MG, Alves LDLA (2009) Volume replacement in trauma. Turk J Emerg Med 15(4):311–316

    Google Scholar 

  9. 9.

    Singh S, Kerndt CC, Davis D (2020) Ringer’s Lactate. StatPearls Publishing, Treasure Island

    Google Scholar 

  10. 10.

    Young JB, Utter GU, Schermer CR et al (2014) A in initial resuscitation of trauma patients. Ann Surg 259(2):255–262

    Article  Google Scholar 

  11. 11.

    Gkotmi NE, Kosmeri C, Filippatos D et al (2017) Use of intravenous fluids/solutions: a narrative review. Curr Med Res Opin 33:459–471

    Article  Google Scholar 

  12. 12.

    Coneviva R, Vicente YAMA (2008) Equilíbrio hidroeletrolítico e hidratação no paciente cirúrgico. Medicina, Ribeirão Preto 41:287–300

    Article  Google Scholar 

  13. 13.

    Ivashkov Y, Bhananker SM (2012) Perioperative management of pediatric trauma patients. Int J Crit Illn Inj Sci 2(3):143–148

    Article  Google Scholar 

  14. 14.

    Chang R, Holcomb JB (2016) Choice of fluid therapy in the initial management of sepsis, severe sepsis, and septic shock. Shock 46(1):17

    Article  Google Scholar 

  15. 15.

    Correa TD, Cavalcanti AB, Assunção MSC (2016) Critaloides balanceados para ressuscitação do choque séptico. Rev Bras Ter Intensiva 28:463–471

    Article  Google Scholar 

  16. 16.

    Rochwerg B, Millen T, Austin P et al (2017) Fluids in sepsis and septic shock(fish): protocol for a pilot randomized controlled trial. BMJ Open 7:1–5

    Google Scholar 

  17. 17.

    Zhou F, Peng ZY, Bispo JV et al (2014) Effects of fluid resuscitation with 0,9% saline versus a balanced electrolyte solution on acute kidney injury in a rat model of sepsis. Crit Care Med 42:270–278

    Article  Google Scholar 

  18. 18.

    Lee SJ, Ramar K, Park JG et al (2014) Increased fluid administration in the first three hours of sepsis resuscitation is associated with reduced mortality: a retrospective cohort study. Chest 164:908–915

    Article  Google Scholar 

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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).

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  • Crystalloid solutions
  • Saline solution
  • Maxillofacial injuries