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Fluid and Electrolytes

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Surgical Metabolism

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Abstract

The physiologic principles that provide the basis for fluid therapy are reviewed. The concepts of total body water, the body fluid compartments, volume control mechanisms, and baseline water and electrolyte requirements are described. The application of these principles to clinical fluid management in the surgical patient is outlined. Specifically, parenteral solution choices, maintenance fluid therapy, and resuscitative fluid therapy are reviewed. The crystalloid-colloid debate is addressed from a historical perspective, and recent paradigms in principles of fluid resuscitation in specific surgical populations are noted. Finally, the relationship between disorders of water balance and sodium metabolism as well as the physiology and management of disorders of sodium, potassium, calcium, magnesium, and phosphorus metabolism is delineated.

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Authors and Affiliations

  1. Department of Surgery, Yale New Haven Hospital, New Haven, CT, USA

    Bishwajit Bhattacharya & Linda L. Maerz

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  1. Bishwajit Bhattacharya
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  2. Linda L. Maerz
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Correspondence to Linda L. Maerz .

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Editors and Affiliations

  1. Department of Surgery, Yale University School of Medicine, New Haven, CT, USA

    Kimberly A. Davis

  2. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Stanley H. Rosenbaum

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Bhattacharya, B., Maerz, L.L. (2020). Fluid and Electrolytes. In: Davis, K., Rosenbaum, S. (eds) Surgical Metabolism. Springer, Cham. https://doi.org/10.1007/978-3-030-39781-4_2

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  • DOI: https://doi.org/10.1007/978-3-030-39781-4_2

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