1. Reposición perioperatoria de la volemia A. Planas Servicio de Anestesia y Reanimación Hospital Universitario Príncipe de Asturias Alcalá de Henares. Madrid

3. ___________________________________________________________________________________________________________________ “ Major operations decreased ECVF by 30%, which correlated linearly with surgical trauma”.

4. ____________________________________________________________________________________________________________________________________

6. Na + 142 Cl - 103 K + 4 CO3H - 27 Ca ++ 5 Proteínas 16 Mg ++ 3 Otros 8 Osmol 290 Na + 145 Cl - 114 K + 4 CO3H - 30 Ca ++ 3 Proteínas 1 Mg ++ 1 Otros 8 Osmol 290 Na + 10 Cl - 2 K + 156 CO3H - 10 Ca ++ 3 Proteínas 55 Mg ++ 26 Otros 128 Osmol 290 Intravascular 3 L Intersticial 11 L INTRACELULAR 28 L EXTRACELULAR 14 L

8. Fluidoterapia intraoperatoria 1. Cristaloides Glucosa Na + Cl - K + Ca ++ Lactato Osmol Glucosado 5% 5000 277 Salino 154 154 308 Ringer Lactato 131 112 5 4 28 277 Osm = 2 x Na + + Glucemia/18 _______________________________________________________________________________________________________________________

9. Fluidoterapia intraoperatoria Salino vs Ringer L Anesthesiology 1999; 90: 1265-70

10. Fluidoterapia intraoperatoria Salino vs Ringer L Tº inicio diuresis (min) Cambios SNC (%) Dolor abdominal (%) * * * p <0,01 ** p<0,001 Ac. HiperCl (%) * ** Anesth Analg 1999; 88: 999-1003

11. Fluidoterapia intraoperatoria Salino vs Ringer L * * * p <0,05 Anesth Analg 1999; 88: 999-1003 Osmol

12. Intravascular Intersticial Intracelular 28 L 11 L 3 L McDonald DM, Microcirculation, 1999

13. Activación adrenocortical Activación SRAA y ADH Respuesta inflamatoria Intravascular Intersticial Intracelular 28 L 11 L 3 L McDonald DM, Microcirculation, 1999

14. Activación adrenocortical Activación SRAA y ADH Respuesta inflamatoria Intravascular Intersticial Intracelular 28 L 11 L 3 L McDonald DM, Microcirculation, 1999

15. Activación adrenocortical Activación SRAA y ADH Respuesta inflamatoria Intravascular Intersticial Intracelular McDonald DM, Microcirculation, 1999

19. ________________________________________________________________________________________________________________________

23. ___________________________________________________________________________________________________________________

26. Fluidoterapia intraoperatoria Coloides _______________________________________________________________________________________________________________________

29. Colloids Versus Crystalloids and Tissue Oxygen Tension in Patients Undergoing Major Abdominal Surgery Lang K, Boltd J, Suttner S, Haichs G. Anesth Analg 2001; 93 (2): 405-9 __________________________________________________________________________________________________________________________________

34. ____________________________________________________________________________________________________________________