Abstract
Liberal fluid strategy mostly using crystalloid solution to achieve adequate blood pressure and urine output has been widely used in intraoperative fluid management. However, recent increases in high-risk surgical patients and trends toward early recovery after surgery require more advanced strategies of fluid management. In high-risk surgical patients, the advantages of fluid optimization using less-invasive hemodynamic monitor and synthetic colloid administration, have been reported. For patients in early recovery after surgery, a restrictive fluid strategy has successfully reduced gastrointestinal complications and contributed to achieving the goal of early recovery. For these reasons, goal-directed fluid management, which includes both fluid optimization and fluid restriction, is a logical choice as a future trend in intraoperative fluid management.
