Q: Intravenous fluid (IVF) resuscitation can act as an adjuvant analgesia? (select one)
A) True
B) False
Answer: True
In many conditions, where dehydration, hypovolemia or capillary leak syndrome becomes a part of underlying pathophysiology, adequate IVF resuscitation and restoration of euvolemia helps in relieving pain. Hemoconcentration aggravates the ischemic pain and proper hydration attenuates underlying ischemia. On the other hand, care should be taken to avoid aggressive resuscitation as most of these patients have hypoalbuminemia and decrease colloid pressure may increase the third space edema resulting in compartment syndromes, like intra-abdominal hypertension in septic shock patients from over-zealous IVF resuscitation.
#resuscitation
Reference:
White, Paul F.Maharaj and Co.Preoperative Intravenous Fluid Therapy Decreases Postoperative Nausea and Pain in High Risk Patients - Anesthesia & Analgesia: March 2005 - Volume 100 - Issue 3 - p 675-682
A) True
B) False
Answer: True
In many conditions, where dehydration, hypovolemia or capillary leak syndrome becomes a part of underlying pathophysiology, adequate IVF resuscitation and restoration of euvolemia helps in relieving pain. Hemoconcentration aggravates the ischemic pain and proper hydration attenuates underlying ischemia. On the other hand, care should be taken to avoid aggressive resuscitation as most of these patients have hypoalbuminemia and decrease colloid pressure may increase the third space edema resulting in compartment syndromes, like intra-abdominal hypertension in septic shock patients from over-zealous IVF resuscitation.
#resuscitation
Reference:
White, Paul F.Maharaj and Co.Preoperative Intravenous Fluid Therapy Decreases Postoperative Nausea and Pain in High Risk Patients - Anesthesia & Analgesia: March 2005 - Volume 100 - Issue 3 - p 675-682
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