Clinical Scorecard: Intraoperative Fluid Management Strategies Amid the 2024 IV Fluid Supply Crisis
At a Glance
Category
Detail
Condition
Intraoperative Fluid Management
Key Mechanisms
Fluid reduction bundle intervention to optimize crystalloid administration.
Target Population
Patients receiving anesthesia care for surgical procedures.
Care Setting
Quaternary hospital network in the Bronx, New York.
Key Highlights
Liberal fluid administration linked to postoperative complications.
Restrictive infusion may lead to acute kidney injury and hypotension.
Structured fluid-reduction bundle introduced to optimize fluid use.
Cost analysis conducted on intravenous fluid administration.
Study followed STROBE guidelines for cohort studies.
Guideline-Based Recommendations
Diagnosis
Monitor for acute kidney injury using ICD-9 and ICD-10 coding.
Management
Implement fluid reduction strategies to minimize crystalloid use.
Monitoring & Follow-up
Assess urine output and Foley catheter use during surgery.
Risks
Postoperative complications such as respiratory failure and delayed recovery.
Patient & Prescribing Data
Patients undergoing surgery within a quaternary care network.
Focus on reducing crystalloid infusion volume to enhance patient care.
Clinical Best Practices
Utilize a structured fluid-reduction bundle during surgery.
Evaluate the impact of fluid management on patient outcomes and costs.
Related Resources & Content
BJS (British Journal of Surgery), 2024 -- A Guide to Optimizing Intravenous Fluid Management in the Perioperative Setting
Journal of Hospital Medicine, 2024 -- Resource management and clinical outcomes during a national intravenous fluid shortage
kff health news, 2024 -- Are IV Alternatives the New Standard?
the asco post, 2024 -- ASHP Offers New Guidance for Managing IV Fluid Shortages
IV fluid shortage declared after Hurricane Helene flooded Baxter plant - The Washington Post, 2024
Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative, 2024
Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery | New England Journal of Medicine, 2018
IV fluid shortage declared after Hurricane Helene flooded Baxter plant - The Washington Post
Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative.
Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery | New England Journal of Medicine
by Noah Hopstein, Felix Borngaesser, Lorenz Droege, Rafi Khandaker, Michael E. Kiyatkin, Michael L. Rinke, Peter P. Semczuk, Jeffrey M. Weiss, Nicholas Kolmel, Mark Condoleo, Karuna Wongtangman, Ali Bordbar Jahantighi, Ibraheem M. Karaye, Tomer Kotek, Adela M. Aguirre-Alarcon, Constance Rippel, Dorothee S. Straetz, Michele C. Siciliano, Jason Hallick, Aiman M. Suleiman, Andrew D. Racine, Matthias Eikermann
Operative-time–adjusted findings favored the ipsilateral technique, while absolute fluoroscopy time and radiation exposure remained similar between approaches.
