Intravenous fluids for abdominal aortic surgery

Operating Room Use of Hypertonic Solutions: A Clinical Review

“…None of the clinical studies considered the immunomodulatory effects of hypertonic saline. Consistent with the 2002 Cochrane group review 67 on the use of intravenous fluids (non-blood fluids) for abdominal aortic surgery, we also found no overwhelming evidence to support or reject the preferential use of any particular type of fluid.…”

Effect of lactate versus acetate-based intravenous fluids on acid-base balance in patients undergoing free flap reconstructive surgeries

“…The choice of fluid to administer has been investigated in numerous randomized, controlled trials and systematic reviews primarily in critically ill patients with ambiguous results and with unclear implications for fluid management in elective surgical procedures. [ 2 3 4 5 6 ] Different solutions have different effects on acid-base status, electrolyte levels, coagulation, and renal and hepatic function. Several studies have reported an increased incidence of hyperchloremic acidosis with the use of normal saline, and others an increase in blood lactate levels when large amounts of RL solutions were infused.…”

Cross-Sectional Guidelines for Therapy with Blood Components and Plasma Derivatives: Chapter 5 Human Albumin - Revised

“…There are three Cochrane analyses [10,76,113] and two systematic reviews [46,110] on the application of albumin as volume replacement during the perioperative phase, investigating the effect of albumin as compared to a crystalloid or any other colloid volume substitute. Regarding mortality neither benefit nor harm was shown when using human albumin.…”