How much fluid is enough? Are too many bags a bad thing? The pendulum has come to rest somewhere in the middle when it comes to fluid therapy for patients undergoing big belly operations.
So for the average 80 kg bloke having a hemicolectomy this equation for “liberal” means: 800mls bolus at induction, 640 mls/hr as the operation goes on (~ 2 L for a3-hour op) then 120 ml/hr on the ward… this would seem a pretty standard amount of fluids where I work, not exactly flooding in a liberal sense.
OK, that is it – have a listen and feel free to comment on the podcast link or the Facebook page if you are one of the 450 odd Aussie GPAs
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact