Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Journal of Maxillofacial and Oral Surgery

16-10-2021 | Oral and Maxillofacial Surgery | Clinical paper

Rational use of Volume Replacement Fluids in Patients of Oral and Maxillofacial Surgery

Authors: Emerson Filipe de Carvalho Nogueira, Priscila Lins Aguiar, Thaisa Tamires Fortaleza Spinelli de Freitas, Altamir Oliveira de Figueiredo Filho, Bergson Carvalho de Moraes, Ricardo José de Holanda Vasconcellos

Published in: Journal of Maxillofacial and Oral Surgery

Login to get access

Abstract

Introduction

Fluid resuscitation is fundamental for the management of general trauma, hemorrhagic shock, and generalized infections. The aim of this article is to guide surgeons in the choice of fluids for fluid resuscitation in oral and maxillofacial surgery patients by providing practical and objective guidelines, with specific indications derived from various hospital situations.

Materials and Methods

Crystalloid solutions such as 0.9% saline and Ringer’s lactate are first-choice fluids in multiple clinical situations such as facial trauma with or without major blood loss, during the preoperative period of elective surgeries, and in cases of septic shock because of their wide availability, low cost and better physiological dilution. The administration to oral and maxillofacial surgery patients is an ongoing challenge in terms of indicating the best solution for each situation since no established protocols are available in the literature; consequently, the choice is mainly based on institutional practice and surgeon’s preferences.

Conclusion

Decision for fluid resuscitation should be made based on the individual needs of each patient and the procedure to be performed.
Literature
1.
Misir A, Mehrotra S (2018) Fluid and medication considerations in the traumatized patient. Curr Pediatr Rev 14:9–27CrossRef
2.
Ferreira LGB (2011) Terapia de hidratação venosa. Revista Hospital Universitário Pedro Ernesto 10:73–85
3.
Saraghi M (2015) Intraoperative fluids and fluid management for ambulatory dental sedation and general anesthesia. Anesth Prog 62:168–177CrossRef
4.
Martin S, Alexa H, Eva GC et al (2019) The value of volume substitution in patients with septic and haemorrhagic shock with respect to the microcirculation. Swiss Med Wkly 149:1–11
5.
Peerless JR (2001) Fluid management of the trauma patient. Curr Opin Anaesthesiol 14:221–225CrossRef
6.
Chiara O, Bucchi L, Sara A, Bassi G et al (2008) Quality and quantity of volume replacement in trauma patients. Minerva Anestesiol 74:306–303
7.
Guerrero MG, Andrighetti GL (2011) Reposición de volumen em el politraumatizado. Rev Med Clin Condes 22(5):599–606
8.
Ribeiro MAF, Epstein MG, Alves LDLA (2009) Volume replacement in trauma. Turk J Emerg Med 15(4):311–316
9.
Singh S, Kerndt CC, Davis D (2020) Ringer’s Lactate. StatPearls Publishing, Treasure Island
10.
Young JB, Utter GU, Schermer CR et al (2014) A in initial resuscitation of trauma patients. Ann Surg 259(2):255–262CrossRef
11.
Gkotmi NE, Kosmeri C, Filippatos D et al (2017) Use of intravenous fluids/solutions: a narrative review. Curr Med Res Opin 33:459–471CrossRef
12.
Coneviva R, Vicente YAMA (2008) Equilíbrio hidroeletrolítico e hidratação no paciente cirúrgico. Medicina, Ribeirão Preto 41:287–300CrossRef
13.
Ivashkov Y, Bhananker SM (2012) Perioperative management of pediatric trauma patients. Int J Crit Illn Inj Sci 2(3):143–148CrossRef
14.
Chang R, Holcomb JB (2016) Choice of fluid therapy in the initial management of sepsis, severe sepsis, and septic shock. Shock 46(1):17CrossRef
15.
Correa TD, Cavalcanti AB, Assunção MSC (2016) Critaloides balanceados para ressuscitação do choque séptico. Rev Bras Ter Intensiva 28:463–471CrossRef
16.
Rochwerg B, Millen T, Austin P et al (2017) Fluids in sepsis and septic shock(fish): protocol for a pilot randomized controlled trial. BMJ Open 7:1–5
17.
Zhou F, Peng ZY, Bispo JV et al (2014) Effects of fluid resuscitation with 0,9% saline versus a balanced electrolyte solution on acute kidney injury in a rat model of sepsis. Crit Care Med 42:270–278CrossRef
18.
Lee SJ, Ramar K, Park JG et al (2014) Increased fluid administration in the first three hours of sepsis resuscitation is associated with reduced mortality: a retrospective cohort study. Chest 164:908–915CrossRef
Metadata
Title
Rational use of Volume Replacement Fluids in Patients of Oral and Maxillofacial Surgery
Authors
Emerson Filipe de Carvalho Nogueira
Priscila Lins Aguiar
Thaisa Tamires Fortaleza Spinelli de Freitas
Altamir Oliveira de Figueiredo Filho
Bergson Carvalho de Moraes
Ricardo José de Holanda Vasconcellos
Publication date
16-10-2021
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-021-01655-5