Perioperative Fluid Management

Domagoj Mladinov; Erin Isaza; Andre F Gosling; Adrienne L Clark; Jasleen Kukreja; Marek Brzezinski

doi:10.1016/j.cger.2024.03.008

Perioperative Fluid Management

Clin Geriatr Med. 2025 Feb;41(1):83-99. doi: 10.1016/j.cger.2024.03.008.

Authors

Domagoj Mladinov¹, Erin Isaza², Andre F Gosling³, Adrienne L Clark⁴, Jasleen Kukreja⁵, Marek Brzezinski⁶

Affiliations

¹ Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, CWN-L1, Boston, MA 02115, USA.
² University of California, San Francisco, School of Medicine, 500 Parnassus Avenue, MU 405 W San Francisco, CA 94143, USA.
³ Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, 619 19th Street South, JT 845D, Birmingham, AL 35249, USA.
⁴ Department of Anesthesia and Perioperative Care, University of California, 500 Parnassus Avenue, MU 405 W San Francisco, CA 94143, USA.
⁵ Division of Cardiothoracic Surgery, Department of Surgery, University of California, 500 Parnassus Avenue, MU 405 W San Francisco, CA 94143, USA.
⁶ Department of Anesthesia and Perioperative Care, University of California, VA Medical Center-San Francisco, 4150 Clement Street, San Francisco CA 94121, USA. Electronic address: [email protected].

PMID: 39551543
DOI: 10.1016/j.cger.2024.03.008

Abstract

The medical complexity of the geriatric patients has been steadily rising. Still, as outcomes of surgical procedures in the older adults are improving, centers are pushing boundaries. There is also a growing appreciation of the importance of perioperative fluid management on postoperative outcomes, especially in the older adults. Optimal fluid management in this cohort is challenging due to the combination of age-related physiological changes in organ function, increased comorbid burden, and larger fluid shifts during more complex surgical procedures. The current state-of-the-art approach to fluid management in the perioperative period is outlined.

Keywords: Anesthesia; Fluid therapy; Geriatrics; Perioperative medicine; Resuscitation; Surgery.

Publication types

Review

MeSH terms

Aged
Fluid Therapy* / methods
Humans
Perioperative Care* / methods
Postoperative Complications / prevention & control