• Curr Opin Anaesthesiol · Feb 2013

    Review

    Fluid management in thoracic surgery.

    • Sherif Assaad, Wanda Popescu, and Albert Perrino.
    • VA Healthcare Systems, Yale University School of Medicine, New Haven, Connecticut, USA. Sherif.assaad@yale.edu
    • Curr Opin Anaesthesiol. 2013 Feb 1;26(1):31-9.

    Purpose Of ReviewThis review presents the current available data to date regarding the perioperative risks associated with fluid management in thoracic surgery and its implications on the development of acute lung injury (ALI) as well as acute kidney injury (AKI).Recent FindingsThe debate over the adequate fluid management during lung resection surgery has not been settled. Recent findings question the relationship between fluid administration and the development of ALI after lung resection surgery. New concepts including the capillary glycocalyx and the 'baby lung' model have reshaped thinking and therapy. Currently, there has been a growing interest in tissue hypoperfusion resulting from inadequate fluid resuscitation and the development of AKI after lung resection surgery.SummaryAlternative fluid regimens to the traditional restrictive protocols used during thoracic surgery are being explored. These include normovolemic and goal-directed therapy protocols and the use of newer colloid solutions.

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