<![CDATA[Terapi cairan merupakan salah satu topik paling kontroversial dalam manajemen perioperatif. Perdebatan yang terus berlangsung terutama mengenai jumlah dan tipe cairan resusitasi, metode monitoring dan strategi pemberian cairan pada operasi jantung. Laporan mengenai hipervolemia atau hipovolemia perioperatif semakin banyak dijumpai. Manajemen cairan perioperatif yang tidak tepat akan meningkatkan morbiditas dan mortalitas pasca pembedahan. Dalam tinjauan pustaka ini dipaparkan fisiologi cairan tubuh, respon tubuh terhadap stress pembedahan, patofisiologi kelebihan dan kekurangan cairan perioperatif pada operasi jantung, penggunaan alat monitoring, pemilihan jenis cairan serta dampak pada fungsi organ dan aplikasi klinis.
Kata kunci: Cairan, koloid, kristaloid, operasi jantung
Fluid Management in Cardiac Surgery
Fluid therapy is one of the most controversial topics in perioperative management. There is continuing debate with regard to the quantity and the type of fluid resuscitation, the choice of parameters used in monitoring and goal directed therapy strategy used cardiac surgery. However, there are increasing reports of perioperative excessive and deficit intravascular volume leading to increased postoperative morbidity and mortality. This article aims to briefly review physiology of body fluid, stress response to surgery, pathophysiology of fluid excess and deficit during perioperative period in cardiac surgery, the use of monitoring, the fluid formula available, the effects to organ and clinical implications.
Key words: Cardiac surgery, colloids, crystalloids, fluids
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