The Effect of Perioperative Fluid Management on Intraocular Pressure during Gynecologic Laparoscopic Pelvic Surgery
Table 1
Details of the two fluid protocols.
Time
Liberal fluid group
Restrictive fluid group
Before surgery
Fasting from midnight
Fasting from midnight
During surgery
7 ml/kg/hr RL during first intraoperative hr, 5 ml/kg/hr for the subsequent hours
RL according to “4-2-1” 4 ml/kg/hr for first 10 kg (40 ml/hr) Then 2 ml/kg/hr for next 10 kg (20 ml/hr) Then 1 ml/kg/hr for any kg over 20 kg of weight This always gives 60 ml/hr for first 20 kg; then you add 1 ml/kg/hr for each kg over 20 kg
After surgery (PACU)
1.5 ml/kg/hr
“4-2-1” rule
After operation at the ward day of surgery
1.5 ml/kg/hr RL
1.5 ml/kg/hr RL
Postoperative day 1
1.5 ml/kg/hr RL, oral fluids
1.5 ml/kg/hr RL, oral fluids
Postoperative day 2
Oral fluids and solid food according to surgical allowance
Oral fluids and solid food according to surgical allowance
