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Continuing Education in Anaesthesia, Critical Care & Pain Advance Access originally published online on August 22, 2005
Continuing Education in Anaesthesia, Critical Care & Pain 2005 5(5):157-160; doi:10.1093/bjaceaccp/mki042
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 5 Number 5 2005 © The Board of Management and Trustees of the British Journal of Anaesthesia [2005]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Perioperative electrolyte and fluid balance

Sahir S Rassam, MB ChB MSc FFARCSI, Consultant Anaesthetist
Department of Anaesthetics, University Hospital of Wales, Heath Park, Cardiff, CF23 9AT

David J Counsell, MB ChB FRCA, Consultant Anaesthetist
Department of Anaesthetics, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham, LL13 7TD
Tel: 01978 725955, Fax: 01978 725932, E-mail: dave.counsell{at}btinternet.com (for correspondence)

Appropriate fluid therapy is essential to protect organ function in the perioperative period. The physiological principles of fluid and electrolyte management are well described but a gap exists between knowledge and clinical practice. In this article, we will review fluid and electrolyte physiology, the stress response to surgery and hypovolaemia, and the consequences of electrolyte disturbances.


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