Intravenous fluid therapy is an important aspect of perioperative care but doctors often prescribe fluid with limited knowledge of its benefits and risks this article provides an evidence based summary of current best practice in the prescription of fluid for patients undergoing major non cardiac surgery patient outcomes after major non cardiac surgery can be improved considerably through . Perioperative fluid therapy remains a highly debated topic its purpose is to maintain or restore effective circulating blood volume during the immediate perioperative period maintaining effective circulating blood volume and pressure are key components of assuring adequate organ perfusion while avoiding the risks associated with either organ hypo or hyperperfusion. Clinical challenges in perioperative fluid therapy preoperative starvation free administration of clear fluids up to 2 h before an anaesthetic leads to lower gastric content volumes of higher ph value 8 starvation and fluid restriction should be considered as separate issues and policies need to be developed to implement this change of . Perioperative fluid therapy is a medical prescription which consists of three categories such as maintenance therapy deficit therapy and replacement therapy to achieve a correct fluid management
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