Current evidence has presented bench science offering a drastically different view of not only how much fluid is “enough” but the intravascular mechanics involved in fluid retention and re-absorption are not necessarily as we have been instructing. Current best clinical evidence provides a contradiction to the dogma of 4-2-1 and interstitial fluid re-absorption in the guise of goal directed fluid management techniques and the science of the glycocalyx layer of the vascular bed. This presentation will provide instructional option in order to bring the best science and evidence to our learners while providing clinical freedom for our bed-side faculty to instruct based on their tried-and-true fluid management concept(s). Fundamentally fluid management in the peri-anesthetic period is much less about “fill’er up” and more about how much, of what fluid, and when.
Learning Objectives:
Describe the current state of fluid management principles in clinical anesthesia education.
Contrast the 4-2-1 and goal-directed fluid management instructional concepts used in clinical education and practice.
Highlight the emerging science related to the conventional understanding of how the vascular bed is structured and describe how this emerging science can change how we teach fluid management in the didactic and clinical arena.
.jpg "Brian E. Benham, DNP, MSN, CRNA, MAJ, (Ret) (he/him/his) photo")