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Wet, dry or something else?
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The great fluid debate continues to rage. There is still no clear consensus or agreement as to whether the perioperative patient should be treated according to a liberal fluid regimen, or a restrictive one. Fortunately, the evidence base continues to mount, and it is to be hoped that, little by little, we are able to move closer to a logical and evidence-based position.
The debate began a number of years ago in the intensive care unit. Early work by Shoemaker and colleagues1 demonstrated that patients with supra-normal value for tissue-oxygen delivery tended to have superior outcomes after critical illness as compared with those who did not.2 This led to the (not unreasonable) hypothesis that therapeutic intervention to increase tissue-oxygen delivery or perfusion would in turn result in improved outcomes in
Professor of Critical Care Anaesthesia, Intensive Care Unit, St James's University Hospital Leeds LS9 7TF, UK
E-mail: m.c.bellamy@leeds.ac.uk
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- Judging by Slogging- Are we going back to Supranormal Goals?
- Pradeep Orakkan
- British Journal of Anaesthesia, 27 Nov 2006 [Full text]
- Re: Judging by Slogging- Are we going back to Supranormal Goals?
- Pradeep Orakkan
- British Journal of Anaesthesia, 14 Jan 2007 [Full text]
- Supranormal goals? Not really
- Mark C Bellamy
- British Journal of Anaesthesia, 5 Feb 2007 [Full text]

