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How do you decide if patients without contraindications should receive IV fluids during the pre-operative period if they are undergoing surgery during their hospitalization?

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Hospital Medicine · University of Iowa Hospitals and Clinics

I agree with Dr. @Dr. First Last. Volume status determination remains subjective, and a combination of urine output (and color!), physical exam, patient history, and vital sign review often provides conflicting information requiring subtle interpretation. Hypervolemia leading to pulmonary edema will...

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Hospital Medicine · Temple University Hospital

This is an interesting question. The concern is that patients with hypovolemia who undergo anesthesia/surgery will develop acute kidney injury and/or hypotension. Conversely, hypervolemia can lead to problems in the postoperative setting (as shown by the ERAS literature). The current recommendations...

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