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Facing the Challenge: A Rational Strategy for Fluid and Volume Management

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Annual Update in Intensive Care and Emergency Medicine 2011

Part of the book series: Annual Update in Intensive Care and Emergency Medicine 2011 ((AUICEM,volume 1))

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Abstract

Perioperative fluid and volume therapy is an important aspect relevant to outcome in the treatment of patients undergoing surgery and on the intensive care unit (ICU). New findings concerning the endothelial surface layer, its physiological functions and its role under pathological conditions, have led not only to a new understanding of the vascular barrier function, but also to challenges to traditional strategies for volume replacement in the operating room (OR) and in the ICU. The various studies comparing restrictive versus liberal fluid management are not directly comparable and are in most instances neither related to the phys?iological basis of perioperative fluid loss, nor do they differ between colloid and crystalloid administration for volume resuscitation.

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Authors and Affiliations

  1. Department of Anesthesiology Center of Anesthesiology and Intensive Care Medicine, University Medical Center, Martinistrasse 52, 20246, Hamburg, Germany

    K. Heckel, M. S. Strunden & D. A. Reuter

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  1. K. Heckel
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  2. M. S. Strunden
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  3. D. A. Reuter
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Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head) (Head)

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Heckel, K., Strunden, M.S., Reuter, D.A. (2011). Facing the Challenge: A Rational Strategy for Fluid and Volume Management. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2011. Annual Update in Intensive Care and Emergency Medicine 2011, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18081-1_31

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  • DOI: https://doi.org/10.1007/978-3-642-18081-1_31

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-18080-4

  • Online ISBN: 978-3-642-18081-1

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