Fluid Resuscitation

  • Joseph R. Fontana
  • Thomas G. Rainey


Fluid resuscitation is a form of therapy in evolution. Novel strategies are developing as a result of advancements in the domains of shock, sepsis, trauma, and immunity. Integration of physiologic principles with emerging data will advance the discipline and lead to superior outcomes. This chapter covers physiology germane to the fluid management of the critically ill surgical patient. Subsequently, general concepts and the applications of colloids and crystalloids are discussed. Hypertonic solutions are covered separately. A patient-specific approach is favored, as no one fluid product is appropriate for all situations. Careful monitoring is essential, as the critically ill have dynamic and, often, fragile systems.


Mean Arterial Pressure Hemorrhagic Shock Hypertonic Saline Lactate Ringer Hydroxyethyl Starch 


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Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Joseph R. Fontana
    • 1
  • Thomas G. Rainey
    • 1
  1. 1.Department of Critical Care MedicineSuburban HospitalBethesdaUSA

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