Perioperative fluid and electrolyte management requires an understanding of physiology and fluid losses. Consequences of poor management in postoperative patients can be fatal. This audit assesses the latest consensus guidelines and applies them to a district general hospital setting. Results are concerning and demonstrate a global lack of application of knowledge and understanding. Recommendations are suggested in order to control this potentially devastating situation.
BaigM.K., WexnerS.D.2004Postoperative ileus: a reviewDiseases of Colon and Rectum47(4) 516–26
2.
FearonK.C.H., LuffR.2003The nutritional management of surgical patients: enhanced recovery after surgeryProceedings of the Nutrition Society62807–11
3.
Her Majesty's Stationery Office, 1991Dietary reference values for food energy and nutrients for the United KingdomCOMA report on Health and Social Subjects No 41 London, HMSO
4.
LoboD.N., DubeM.G., NealK.R., AllisonS.P., RowlandsB.J.2002Perioperative fluid and electrolyte management: a survey of consultant surgeons in the UKAnnals of the Royal College of Surgeons of England84(3) 156–160
5.
LoboD.N.2004Fluid, electrolytes and nutrition: physiological and clinical aspectsProceedings of the Nutrition Society63453–66
6.
Powell-TuckJ., GoslingP., LoboD.2006British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients British Association for Parenteral and Enteral Nutrition London, Intensive Care Society
7.
RavensU., CerbaiE.2008Role of potassium currents in cardiac arrhythmiasEuropace10(10) 1133–1137
