British Journal of Anaesthesia, 2003, Vol. 90, No. 3 395-396
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia
Correspondence |
Pathophysiology and clinical implications of perioperative fluid excess
1 Worthing, UK 2 Cairns, Australia 3 Hvidorre, Denmark
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EditorWe read with interest the review concerning the pathophysiology and clinical implications of perioperative fluid excess.1 However, we were surprised and have to disagree with the conclusion that there is a need for randomized, prospective clinical studies to compare high vs low fluid regimens. We were surprised because the authors highlighted two excellent studies where appropriate plasma volume expansion resulted in significantly better gastrointestinal perfusion, and reductions in morbidity and hospital stay,2 3 and