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Fluid therapy and colorectal surgery Use or abuse?
1) The document discusses fluid therapy and its relationship to complications in colorectal surgery. It analyzes the effects of intravenous fluid volume and sodium administration on postoperative outcomes. 2) Results showed that higher intravenous fluid and sodium volumes during the postoperative period were related to increased complications and mortality. Restricting intravenous fluids in the second phase of the study was associated with earlier return of gastrointestinal function. 3) Post-surgery alterations like decreased oncotic pressure and endocrine responses can cause fluid retention. Excess fluids can negatively impact cardiac, pulmonary, renal and gastrointestinal recovery as well as wound healing. The optimal fluid regimen remains unclear.
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