SlideShare a Scribd company logo
1 of 47
Download to read offline
PERIOPERATIVE FLUID THERAPY Department of Anesthesiology &ICU KKUH. King Saud University
Total Body Water (TBW) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Body Water Compartments ,[object Object],[object Object],[object Object],[object Object]
Fluid and Electrolyte Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid and Electrolyte Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Evaluation of Fluid Status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Orthostatic Hypotension ,[object Object],[object Object],[object Object],[object Object]
Perioperative Fluid Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1- Maintenance Fluid Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2- NPO and other deficits ,[object Object],[object Object],[object Object]
3- Third Space Losses ,[object Object],[object Object]
Replacing Third Space Losses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4- Blood Loss ,[object Object],[object Object]
5- Other additional losses ,[object Object],[object Object],[object Object],[object Object],[object Object]
Example ,[object Object],[object Object],[object Object],[object Object]
Example (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intravenous Fluids: ,[object Object],[object Object],[object Object],[object Object]
Crystalloids ,[object Object],[object Object],[object Object],[object Object]
Colloids ,[object Object],[object Object],[object Object]
Hypertonic Solutions ,[object Object],[object Object],[object Object]
Composition
Clinical Evaluation of Fluid Replacement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Transfusion Therapy ,[object Object],[object Object]
When is Transfusion Necessary? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen Delivery  (cont.) ,[object Object],[object Object],[object Object],[object Object]
Blood Groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cross Match ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type and Screen ,[object Object],[object Object],[object Object],[object Object]
Component Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Packed Red Blood Cells ,[object Object],[object Object],[object Object]
Platelet Concentrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
F resh  F rozen  P lasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Blood Therapy ,[object Object],[object Object],[object Object]
Complications of Blood Therapy  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Acute Hemolytic Reactions ,[object Object],[object Object],[object Object]
Autologous Blood ,[object Object],[object Object],[object Object],[object Object],[object Object]
Administering Blood Products ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alternatives to Blood Products ,[object Object],[object Object]
Autotransfusion ,[object Object],[object Object],[object Object],[object Object]
Blood Substitutes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Substitutes  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Substitutes  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Therapy Summary ,[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

IV Fluid Choice - An ICU Perspective
IV Fluid Choice - An ICU PerspectiveIV Fluid Choice - An ICU Perspective
IV Fluid Choice - An ICU PerspectiveSCGH ED CME
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapyghadimhmd
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusionsalamon raja
 
Intravenous fluids crystalloids and colloids
Intravenous fluids    crystalloids and colloidsIntravenous fluids    crystalloids and colloids
Intravenous fluids crystalloids and colloidsomar143
 
IV FLUID MANAGEMENT/ FLUID THERAPY
IV FLUID MANAGEMENT/ FLUID THERAPYIV FLUID MANAGEMENT/ FLUID THERAPY
IV FLUID MANAGEMENT/ FLUID THERAPYAshutosh Pakale
 
Intravenous Induction agents
Intravenous Induction agentsIntravenous Induction agents
Intravenous Induction agentssumanth reddy
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care Vineel Bezawada
 
O2 cascade flux n odc
O2 cascade flux n odcO2 cascade flux n odc
O2 cascade flux n odcRony Mathew
 
Thiopentone and propofol
Thiopentone and propofolThiopentone and propofol
Thiopentone and propofolrazishahid
 
INTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPYINTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPYAgrawal N.K
 

What's hot (20)

IV Fluid Choice - An ICU Perspective
IV Fluid Choice - An ICU PerspectiveIV Fluid Choice - An ICU Perspective
IV Fluid Choice - An ICU Perspective
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusion
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusion
 
Intravenous fluids crystalloids and colloids
Intravenous fluids    crystalloids and colloidsIntravenous fluids    crystalloids and colloids
Intravenous fluids crystalloids and colloids
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
 
Propofol ppt nandini
Propofol ppt nandiniPropofol ppt nandini
Propofol ppt nandini
 
Perioperative fluid management
Perioperative fluid managementPerioperative fluid management
Perioperative fluid management
 
Spinal anesthesia
Spinal anesthesiaSpinal anesthesia
Spinal anesthesia
 
Colloid vs Crystalloids
Colloid vs CrystalloidsColloid vs Crystalloids
Colloid vs Crystalloids
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
 
Fluid therapy
Fluid therapyFluid therapy
Fluid therapy
 
IV FLUID MANAGEMENT/ FLUID THERAPY
IV FLUID MANAGEMENT/ FLUID THERAPYIV FLUID MANAGEMENT/ FLUID THERAPY
IV FLUID MANAGEMENT/ FLUID THERAPY
 
Intravenous Induction agents
Intravenous Induction agentsIntravenous Induction agents
Intravenous Induction agents
 
Fluids in Intensive Care
Fluids in Intensive Care Fluids in Intensive Care
Fluids in Intensive Care
 
O2 cascade flux n odc
O2 cascade flux n odcO2 cascade flux n odc
O2 cascade flux n odc
 
Thiopentone and propofol
Thiopentone and propofolThiopentone and propofol
Thiopentone and propofol
 
INTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPYINTRA VENOUS FLUID THERAPY
INTRA VENOUS FLUID THERAPY
 

Viewers also liked

Physio1: Week 1
Physio1: Week 1Physio1: Week 1
Physio1: Week 1Julie
 
02 tuong phan
02 tuong phan02 tuong phan
02 tuong phanDuy Quang
 
Transfusion support in surgery
Transfusion support in surgeryTransfusion support in surgery
Transfusion support in surgeryBarilin Passah
 
Preparing for surgery
Preparing for surgeryPreparing for surgery
Preparing for surgerywcmc
 
Peri-operative fluid therapy – Trends
Peri-operative fluid therapy – TrendsPeri-operative fluid therapy – Trends
Peri-operative fluid therapy – Trendsfast.track
 
Perioperative fluid management
Perioperative fluid managementPerioperative fluid management
Perioperative fluid managementShen-Chih Wang
 
Principles of preoperative and operative surgery
Principles of preoperative and operative surgeryPrinciples of preoperative and operative surgery
Principles of preoperative and operative surgeryMEEQAT HOSPITAL
 
Blood and blood transfusion
Blood and blood transfusionBlood and blood transfusion
Blood and blood transfusionBashir BnYunus
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapyspecialclass
 
Perioperative fluid therapy logic & evidence
Perioperative fluid therapy logic & evidencePerioperative fluid therapy logic & evidence
Perioperative fluid therapy logic & evidencepadma puppala
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patientaxix
 
Preanaesthetic medication & general anaesthetics
Preanaesthetic medication & general anaestheticsPreanaesthetic medication & general anaesthetics
Preanaesthetic medication & general anaestheticsswarnank parmar
 

Viewers also liked (20)

Physio1: Week 1
Physio1: Week 1Physio1: Week 1
Physio1: Week 1
 
02 tuong phan
02 tuong phan02 tuong phan
02 tuong phan
 
Transfusion support in surgery
Transfusion support in surgeryTransfusion support in surgery
Transfusion support in surgery
 
Preparing for surgery
Preparing for surgeryPreparing for surgery
Preparing for surgery
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
 
Peri-operative fluid therapy – Trends
Peri-operative fluid therapy – TrendsPeri-operative fluid therapy – Trends
Peri-operative fluid therapy – Trends
 
Perioperative fluid management
Perioperative fluid managementPerioperative fluid management
Perioperative fluid management
 
Principles of preoperative and operative surgery
Principles of preoperative and operative surgeryPrinciples of preoperative and operative surgery
Principles of preoperative and operative surgery
 
Blood and blood transfusion
Blood and blood transfusionBlood and blood transfusion
Blood and blood transfusion
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
 
Premedication
PremedicationPremedication
Premedication
 
Perioperative fluid therapy logic & evidence
Perioperative fluid therapy logic & evidencePerioperative fluid therapy logic & evidence
Perioperative fluid therapy logic & evidence
 
Guidelines of blood transfusion
Guidelines of blood transfusionGuidelines of blood transfusion
Guidelines of blood transfusion
 
Principles of preoperative assessment
Principles of preoperative assessmentPrinciples of preoperative assessment
Principles of preoperative assessment
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
 
Pre anaesthetic medication
Pre anaesthetic medicationPre anaesthetic medication
Pre anaesthetic medication
 
Preanaesthetic medication & general anaesthetics
Preanaesthetic medication & general anaestheticsPreanaesthetic medication & general anaesthetics
Preanaesthetic medication & general anaesthetics
 
Preoperative care
Preoperative carePreoperative care
Preoperative care
 
Perioperative Care
Perioperative CarePerioperative Care
Perioperative Care
 

Similar to Fluids

PERIOPERATIVE FLUID THERAPY 22222023.ppt
PERIOPERATIVE FLUID THERAPY 22222023.pptPERIOPERATIVE FLUID THERAPY 22222023.ppt
PERIOPERATIVE FLUID THERAPY 22222023.ppthussainAltaher
 
Blood & fluid administration copy
Blood & fluid administration   copyBlood & fluid administration   copy
Blood & fluid administration copyKIMS
 
Concept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceConcept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceDr. MD. Majedul Islam
 
Intravenous fluid resuscitation and blood transfusion.ppt
 Intravenous fluid resuscitation and blood transfusion.ppt Intravenous fluid resuscitation and blood transfusion.ppt
Intravenous fluid resuscitation and blood transfusion.pptPANFRAGGER
 
Updates on blood transfusion
Updates on blood transfusion Updates on blood transfusion
Updates on blood transfusion Anwar Yusr
 
Fluid and blood therapy 2.12.2020.
Fluid and blood therapy 2.12.2020.Fluid and blood therapy 2.12.2020.
Fluid and blood therapy 2.12.2020.Helga Komen
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytesekhlashosny
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytesekhlashosny
 
IV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATIONIV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATIONAshray Vasanthapuram
 
Management of massive blood loss
Management of massive blood lossManagement of massive blood loss
Management of massive blood losssripalidassa
 
Fluid manage 최종[1]
Fluid manage 최종[1]Fluid manage 최종[1]
Fluid manage 최종[1]Seungyoun Kang
 
blood and blood products
blood and blood productsblood and blood products
blood and blood productsBISHAL SAPKOTA
 

Similar to Fluids (20)

PERIOPERATIVE FLUID THERAPY 22222023.ppt
PERIOPERATIVE FLUID THERAPY 22222023.pptPERIOPERATIVE FLUID THERAPY 22222023.ppt
PERIOPERATIVE FLUID THERAPY 22222023.ppt
 
Blood & fluid administration copy
Blood & fluid administration   copyBlood & fluid administration   copy
Blood & fluid administration copy
 
Concept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practiceConcept of I/V fluid & its updates on surgical practice
Concept of I/V fluid & its updates on surgical practice
 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
 
intravenous fluid
intravenous fluidintravenous fluid
intravenous fluid
 
Intravenous fluid resuscitation and blood transfusion.ppt
 Intravenous fluid resuscitation and blood transfusion.ppt Intravenous fluid resuscitation and blood transfusion.ppt
Intravenous fluid resuscitation and blood transfusion.ppt
 
Updates on blood transfusion
Updates on blood transfusion Updates on blood transfusion
Updates on blood transfusion
 
Fluid and blood therapy 2.12.2020.
Fluid and blood therapy 2.12.2020.Fluid and blood therapy 2.12.2020.
Fluid and blood therapy 2.12.2020.
 
Blood component therapy part I
Blood component therapy part IBlood component therapy part I
Blood component therapy part I
 
Blood component therapy
Blood component therapyBlood component therapy
Blood component therapy
 
Blood components
Blood componentsBlood components
Blood components
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytes
 
Fluids & Electrolytes
Fluids & ElectrolytesFluids & Electrolytes
Fluids & Electrolytes
 
IV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATIONIV FLUIDS AND BLOOD IN RESUSCITATION
IV FLUIDS AND BLOOD IN RESUSCITATION
 
Blood components
Blood componentsBlood components
Blood components
 
Blood Products 2018
Blood Products 2018Blood Products 2018
Blood Products 2018
 
Management of massive blood loss
Management of massive blood lossManagement of massive blood loss
Management of massive blood loss
 
Fluid management.ppt
Fluid management.pptFluid management.ppt
Fluid management.ppt
 
Fluid manage 최종[1]
Fluid manage 최종[1]Fluid manage 최종[1]
Fluid manage 최종[1]
 
blood and blood products
blood and blood productsblood and blood products
blood and blood products
 

More from Khalid

Introduction to medical ethics
Introduction to medical ethics	Introduction to medical ethics
Introduction to medical ethics Khalid
 
Physiological Changes In Pregnancy
Physiological Changes In Pregnancy	Physiological Changes In Pregnancy
Physiological Changes In Pregnancy Khalid
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes MellitusKhalid
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism Khalid
 
Shock
Shock	Shock
Shock Khalid
 
Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period	Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period Khalid
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional Khalid
 
General Anesthesia
General AnesthesiaGeneral Anesthesia
General AnesthesiaKhalid
 
Emergency Medicine
Emergency Medicine		Emergency Medicine
Emergency Medicine Khalid
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring Khalid
 
Diagnosis and Management of Shock
Diagnosis and Management of Shock		Diagnosis and Management of Shock
Diagnosis and Management of Shock Khalid
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring Khalid
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion Khalid
 
Airway Evaluation and Management
Airway Evaluation and Management	Airway Evaluation and Management
Airway Evaluation and Management Khalid
 
Medical Literature
Medical Literature		Medical Literature
Medical Literature Khalid
 
Airway Evaluation and Management
Airway Evaluation and Management		Airway Evaluation and Management
Airway Evaluation and Management Khalid
 
CVS PSL and Monitoring
CVS PSL and Monitoring	CVS PSL and Monitoring
CVS PSL and Monitoring Khalid
 
Opioids Drugs
Opioids DrugsOpioids Drugs
Opioids DrugsKhalid
 
Opioids
Opioids		Opioids
Opioids Khalid
 
Interpretation OF PFT
Interpretation OF PFT		Interpretation OF PFT
Interpretation OF PFT Khalid
 

More from Khalid (20)

Introduction to medical ethics
Introduction to medical ethics	Introduction to medical ethics
Introduction to medical ethics
 
Physiological Changes In Pregnancy
Physiological Changes In Pregnancy	Physiological Changes In Pregnancy
Physiological Changes In Pregnancy
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 
Pulmonary Embolism
Pulmonary Embolism	Pulmonary Embolism
Pulmonary Embolism
 
Shock
Shock	Shock
Shock
 
Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period	Role of anesthesiologist in pre-opertive period
Role of anesthesiologist in pre-opertive period
 
Introduction to Regional
Introduction to Regional	Introduction to Regional
Introduction to Regional
 
General Anesthesia
General AnesthesiaGeneral Anesthesia
General Anesthesia
 
Emergency Medicine
Emergency Medicine		Emergency Medicine
Emergency Medicine
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring
 
Diagnosis and Management of Shock
Diagnosis and Management of Shock		Diagnosis and Management of Shock
Diagnosis and Management of Shock
 
Patient Monitoring
Patient Monitoring	Patient Monitoring
Patient Monitoring
 
Blood Transfusion
Blood Transfusion	Blood Transfusion
Blood Transfusion
 
Airway Evaluation and Management
Airway Evaluation and Management	Airway Evaluation and Management
Airway Evaluation and Management
 
Medical Literature
Medical Literature		Medical Literature
Medical Literature
 
Airway Evaluation and Management
Airway Evaluation and Management		Airway Evaluation and Management
Airway Evaluation and Management
 
CVS PSL and Monitoring
CVS PSL and Monitoring	CVS PSL and Monitoring
CVS PSL and Monitoring
 
Opioids Drugs
Opioids DrugsOpioids Drugs
Opioids Drugs
 
Opioids
Opioids		Opioids
Opioids
 
Interpretation OF PFT
Interpretation OF PFT		Interpretation OF PFT
Interpretation OF PFT
 

Fluids

  • 1. PERIOPERATIVE FLUID THERAPY Department of Anesthesiology &ICU KKUH. King Saud University
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.