Standard Intraoperative Fluid Practices During the 2024 Intravenous Fluid Shortage - Takeaways - MDSpire
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Intraoperative Fluid Management Strategies Amid the 2024 IV Fluid Supply Crisis

  • 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

  • September 15, 2026

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  • 1

    Intraoperative fluid management lacks consistent evidence, with liberal administration linked to complications and restrictive infusion potentially causing AKI.

  • 2

    A structured fluid-reduction bundle was introduced in response to a nationwide IV fluid supply crisis to optimize crystalloid administration during surgery.

  • 3

    The study included patients from a quaternary hospital network in the Bronx, New York, assessing the impact of fluid management strategies on patient outcomes.

  • 4

    Outcomes measured included intraoperative crystalloid volume, urine output, Foley catheter use, AKI, respiratory complications, and hospital costs.

  • 5

    Cost analyses evaluated changes in crystalloid bag costs and estimated savings from the fluid-reduction intervention across 12,026 surgical patients.

Original Source(s)

Standard Intraoperative Fluid Practices During the 2024 Intravenous Fluid Shortage

  • 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

  • September 15, 2026

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