Clin Colon Rectal Surg 2003; 16(2): 131-136
DOI: 10.1055/s-2003-40591
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Perioperative Fluid Management

David E. Beck
  • Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana
Weitere Informationen


18. Juli 2003 (online)


Fluid management is a key component of perioperative management. During this period the patient may have limited oral intake, significant body fluid shifts, and must be managed using a parenteral route. Fluid and electrolyte requirements, parenteral solutions, and fluid management are reviewed.


  • 1 Beck D E. Preoperative preparation. In: Beck DE, ed. Handbook of Colorectal Surgery St. Louis: Quality Medical 1997: 129-145
  • 2 Graber J W, Schulte W J, Condon R E. et al . Duration of postoperative ileus related to extent and site of operative dissection.  Surg Forum . 1980;  31 141-144
  • 3 Beck D E. Reoperative surgery for acute and chronic small bowel obstruction. In: Longo W, Northover J, eds. Reoperative Surgery of the Colon and Rectum Harwood Academic In: press
  • 4 Arnell T, Stamos M J. Small bowel obstruction.  Clin Colon Rectal Surg . 2001;  14 69-80
  • 5 Wolff B G, Pemberton J H, Van Heerden A J. et al . Elective colon and rectal surgery without nasogastric decompression.  Ann Surg . 1989;  209 670-675
  • 6 Colvin D B, Lee W, Eisenstat T E. et al . The role of nasogastric intubation in elective colonic surgery.  Dis Colon Rectum . 1986;  29 295-299
  • 7 Bauer J L, Gelernt I M, Salky B A. et al . Is routine postoperative nasogastric decompression necessary?.  Ann Surg . 1985;  201 233-236
  • 8 Meltvedt R, Knecht B, Gibbons G, Stahler C, Stojowski A, Johansen K. Is nasogastric suction necessary after elective colon resection?.  Am J Surg . 1985;  140 620-622
  • 9 Fakhry S M, Sheldon G F. Postoperative management. In: Wilmore DW, Brennan MF, Harken AH, et al, eds. Care of the Surgical Patient, Vol 2. New York, NY: Scientific American 1989: 1-23
  • 10 Holliday M A, Segar W E. The maintenance need for water in parenteral fluid therapy.  Pediatrics . 1957;  19 823-832
  • 11 Filston H C, Edwards C H, Chitwood W R. et al . Estimation of postoperative fluid requirements in infants and children.  Ann Surg . 1982;  196 76-81
  • 12 Baxter C R. Crystalloid resuscitation of burn shock. In: Polk HC, Stone HH (eds) Contemporary Burn Management. Boston, MA: Little, Brown 1971: 7
  • 13 Beck D E, Fazio V W, Jagelman D G. Comparison of lavage methods for preoperative colonic cleansing.  Dis Colon Rectum . 1986;  29 699-703
  • 14 Beck D E, DiPalma J A. Comparison of a new oral lavage solution (Nulytely) to a cathartic and enema method for preoperative colonic cleansing.  Arch Surg . 1991;  126 552-555
  • 15 Beck D E. Mechanical bowel cleansing.  Perspect Colon Rectal Surg . 1994;  7 97-114
  • 16 Katz J A, Orkin B A. Bowel preparation for elective colon and rectal surgery.  Clin Colon Rectal Surg . 2003;  16 119-130
  • 17 Miller T A, Duke J H. Fluid and electrolyte management. In: Dudrick SJ, Baue AE, Eiseman B, et al, eds. Manual of Preoperative and Postoperative Care, 3rd ed Philadelphia, PA: W.B. Saunders 1983: 38-67
  • 18 Shires G T, Shires III T G, Lowry S F. Fluid, electrolyte, and nutritional management of the surgical patient. In: Schwartz SI, Shires GT, Spencer FC, et al, eds. Principles of Surgery, 6th ed New York, NY: McGraw-Hill 1994: 61-94
  • 19 Binderow S R, Cohen S M, Wexner S D, Noyras J J. Must early postoperative oral intake be limited to laparoscopy?.  Dis Colon Rectum . 1994;  37 584-589
  • 20 Bufo A J, Feldman S, Daniels G A, Lieberman R C. Early postoperative feeding.  Dis Colon Rectum . 1994;  37 1260-1265