{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:24:16Z","timestamp":1790202256033,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,5,8]],"date-time":"2017-05-08T00:00:00Z","timestamp":1494201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,5,8]],"date-time":"2017-05-08T00:00:00Z","timestamp":1494201600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intravenous fluid therapy is required for most surgical patients, but inappropriate regimens are commonly prescribed. The aim of this narrative review was to provide evidence\u2010based guidance on appropriate perioperative fluid management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We did a systematic literature search of the literature to identify relevant studies and meta\u2010analyses to develop recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 275 retrieved articles, we identified 25 articles to inform this review. \u201cNormal\u201d saline (0.9% sodium chloride) is not physiological and can result in sodium overload and hyperchloremic acidosis. Starch colloid solutions are not recommended in surgical patients at\u2010risk of sepsis or renal failure. Most surgical patients can have clear fluids and\/or administration of carbohydrate\u2010rich drinks up to 2 h before surgery. An intraoperative goal\u2010directed fluid strategy may reduce postoperative complications and reduce hospital length of stay. Regular postoperative assessment of the patient\u2019s fluid status and requirements should include looking for physical signs of dehydration or hypovolemia, or fluid overload. Both hypovolemia and salt and water overload lead to adverse events, complications and prolonged hospital stay. Urine output can be an unreliable indicator of hydration status in the postoperative surgical patient. Excess fluid administration has been linked to acute kidney injury, gastrointestinal dysfunction, and cardiac and pulmonary complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is good evidence supporting the avoidance of unnecessary fasting and the value of an individualized perioperative IV fluid regimen, with transition to oral fluids as soon as possible, to help patients recover from major surgery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4055-y","type":"journal-article","created":{"date-parts":[[2017,5,8]],"date-time":"2017-05-08T14:07:30Z","timestamp":1494252450000},"page":"2457-2463","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Contemporary Approaches to Perioperative IV Fluid Therapy"],"prefix":"10.1002","volume":"41","author":[{"given":"Paul S.","family":"Myles","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine Alfred Hospital and Monash University Commercial Road 3004 Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Andrews","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine Alfred Hospital Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine Alfred Hospital Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dileep N.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Nottingham Digestive Diseases Centre, National Institute of Health Research (NIHR) Biomedical Research Centre Nottingham University Hospitals and University of Nottingham, Queen\u2019s Medical Centre Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monty","family":"Mythen","sequence":"additional","affiliation":[{"name":"Smiths Medical Professor of Anaesthesia and Critical Care, National Institute of Health Research Biomedical Research Centre University College London Hospitals London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,8]]},"reference":[{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2000.0154"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.13356"},{"key":"e_1_2_13_4_2","first-page":"Cd004089","article-title":"Perioperative buffered versus non\u2010buffered fluid administration for surgery in adults","volume":"12","author":"Burdett E","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e318240d6eb"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.430"},{"key":"e_1_2_13_7_2","first-page":"Cd000567","article-title":"Colloids versus crystalloids for fluid resuscitation in critically ill patients","volume":"2","author":"Perel P","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0029665110001734"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2013.232"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2014.105"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/2047\u20100525\u20101\u20102"},{"key":"e_1_2_13_12_2","volume-title":"NICE Guideline","author":"Excellence. 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