Fluids and electrolytes in Maxillofacial Surgery
Close monitoring of the fluid balance will be required. Note that these figures are the average for a 70kg man. The actual amount varies considerably depending on physiological status and body weight which in adult patients can vary from around 40kg to kg. These factors should be taken into account when deciding how much fluid a patients needs replacing.
In such patent, monitor the electrolytes and allow this correction to occur, as this is normal and is to be expected rarely will supplementary IV fluids will be warranted in such cases. In the fluid depleted patients , one should be looking for:.
In patients who may be fluid overloaded , one should be looking for:. Based on these required, it is necessary to consider the fluids that are available for prescription and what exactly they contain, to be able to prescribe appropriately. IV fluids can be broadly categorised in to two groups, crystalloids and colloids as detailed in Table 2 :. More about intravenous fluid composition can be found in detail here. Consequently, a typical fluid maintenance regimen is as follows:. Where the patient is initially dehydrated , you will need to correct this deficit with fluids, in addition to those prescribed as maintenance.
However, in practice it is relatively uncommon to find a patient that is so profoundly dehydrated that this deficit needs to be calculated specifically. Instead, a subjective assessment is made based on clinical parameters, patient size, and any comorbidities. Last patient last visit is planned for end of December Data is constantly processed and stored in a local database.
Data related to fluid management of all included patients is analyzed and depicted to examine the behavior of each patient according to inputs and outputs. Biomarker identification will start by beginning of Analysis of the obtained data may show new correlations in respect to biomarkers identified in blood and urine, leading to knowledge discovery for earlier diagnosis and quicker treatment.
A comprising approach on combining electronically captured patient data and biomarkers might define a novel way for earlier recognition of AKI. Acknowledgments "CBmed" is cooperating together with B. Braun Melsungen AG for this research project.
Oral Rehydration Therapy for Preoperative Fluid and Electrolyte Management
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