Läkartidningen
-
The optimal fluid therapy for plasma volume support at major surgical procedures and in the treatment of critically ill patients has been a matter of considerable controversy during the last few years. The impact of the ongoing debate on Swedish routines has been assessed from a detailed questionnaire sent to all operation (OP) and intensive care units (ICU) in Sweden (n=130) in September 2004. Response was obtained from 92% of the units. ⋯ A restrictive fluid therapy at surgical procedures is recently advocated based on administration of colloid but only a rather limited volume of crystalloid. Some caution in the application of such a fluid therapy approach seems justified. More liberal fluid administration has recently been found rather to improve recovery after laparoscopic surgery.