DOI: https://doi.org/10.36347/sasjs.2025.v11i01.016

Pages: 76-83

Background: Effective perioperative fluid management is crucial for optimizing patient outcomes and minimizing complications. This study evaluates the relationship between intraoperative fluid administration, hemodynamic monitoring, and postoperative outcomes. Methods: A total of 450 patients undergoing elective and emergency surgeries were analyzed. Data included intraoperative fluid volumes, hemodynamic monitoring (SVV/PPV availability), and postoperative outcomes such as hypotension, pulmonary edema, ICU admissions, and hospital length of stay. Statistical analyses were conducted to identify associations between fluid management practices and postoperative complications. Results: The mean total intraoperative fluid volume was 2500 ± 600 mL, predominantly comprising crystalloids (2000 ± 500 mL). Colloids and blood products were administered at mean volumes of 500 ± 200 mL and 300 ± 150 mL, respectively. Postoperative hypotension occurred in 12.5% of patients, with higher rates observed in those lacking SVV/PPV monitoring (14.5% vs. 12.5%). Pulmonary edema and ICU admissions were observed in 5.0% and 2.5% of cases, respectively. Advanced hemodynamic monitoring was utilized in 40.0% of patients and was associated with improved fluid management and reduced complication rates. Conclusion: This study highlights the significant impact of perioperative fluid management and the potential benefits of advanced hemodynamic monitoring in minimizing postoperative complications. Tailored fluid administration strategies based on patient-specific needs and monitoring data are essential for improving surgical outcomes.