Key result
Intraoperative fluid management in spine surgery lacks established guidelines, though goal-directed fluid therapy may help optimize hemodynamics and reduce post-operative complications.
Why the study?
Published literature describing intraoperative fluid management in patients undergoing major spine surgeries is limited and remains controversial.
Does intraoperative fluid management affect post-operative complications in patients undergoing spine surgery?
Does intraoperative fluid management affect post-operative complications in patients undergoing spine surgery?
This narrative review summarizes current literature on intraoperative fluid management and its association with post-operative complications in spine surgery.
Evidence on intraoperative fluid management in spine surgery remains limited and controversial; leaves open need for prospective trials to guide care.
Fluid management has been widely recognized as an important component of the perioperative care in patients undergoing major procedures including spine surgeries. Patient- and surgery-related factors such as age, length of the surgery, massive intraoperative blood loss, and prone positioning, may impact the intraoperative administration of fluids. In addition, the type of fluid administered may also affect post-operative outcomes. Published literature describing intraoperative fluid management in patients undergoing major spine surgeries is limited and remains controversial. Therefore, we reviewed current literature on intraoperative fluid management and its association with post-operative complications in spine surgery.
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Ongaigui et al. (2020) conducted a review in Spine surgery. Intraoperative fluid management was evaluated. Intraoperative fluid management in spine surgery lacks established guidelines, though goal-directed fluid therapy may help optimize hemodynamics and reduce post-operative complications.
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