Correspondence  |   December 2019
IV Fluids for Major Surgery: Comment
Author Notes
  • Södertälje Hospital, Södertälje, Sweden (R.G.H.). r.hahn@telia.com
  • (Accepted for publication September 3, 2019.)
    (Accepted for publication September 3, 2019.)×
Article Information
Correspondence
Correspondence   |   December 2019
IV Fluids for Major Surgery: Comment
Anesthesiology 12 2019, Vol.131, 1367-1368. doi:https://doi.org/10.1097/ALN.0000000000003002
Anesthesiology 12 2019, Vol.131, 1367-1368. doi:https://doi.org/10.1097/ALN.0000000000003002
The review article of perioperative fluid therapy by Miller and Myles1  provides new recommendations for fluid administration during major surgery. Many studies performed during the past 15 yr show that a restrictive strategy consisting of 3 to 5 ml−1 · kg−1 · h−1 of crystalloid fluid during surgery provides a better outcome in comparison with 10 to 12 ml−1 · kg−1 · h−1. The authors now swing the pendulum once again and recommend the larger amount. The basis for their recommendation consists of only two retrospective studies and their own prospective study, the RELIEF (Restrictive Versus Liberal Fluid Therapy in Major Abdominal Surgery) trial.2