Fluid Management and Electrolyte Balance

摘要: Cardiac surgery is responsible for profound modification in body water distribution, electrolyte plasma concentration, and acid–base balance. Maintaining fluid, electrolyte, balance it must be taken into account the alterations due to anaesthesia, effects of cardiac together with patient’s comorbidities physiological response surgical stress. However ideal approach perioperative fluid management still debated. The debate involves kind use (crystalloids vs colloids, colloid colloid, balanced unbalance solutions) amount administer (liberal restrictive). goal-directed therapy seems best choice guide quantity infused, potentially impacting on outcomes. Electrolytes are always modified after surgery. With respect past, benefit their administration (in particular calcium) has been discussed literature. In this chapter, basis patient explained, through understanding physiology pathophysiology.