
Takil A, Eti Z, Irmak P, Yilmaz Gogus F: Early postoperative respiratory acidosis after large intravascular volume infusion of lactated Ringer's solution during major spine surgery.Morgan GE, Mikhail MS, Murray MJ: Clinical Anesthesiology.Tollofsrud S, Elgjo GI, Prough DS, Williams CA, Traber D, Kramer G: The dynamics of vascular volume and fluid shifts of lactated Ringer's solution and hypertonic - saline - dextran solutions infused in normovolemic sheep.O’Connor MF, Roizen MF: Lactate versus chloride: Which is better? Anesth Analg 2001 93: 809-10.Baldwin L, Henderson A, Hickman P: Effect of postoperative low dose dopamine on renal function after elective major vascular surgery.Shires T, Williams J, Brown F: Acute change in extracellular fluids associated with major surgical procedures.


Results: pH and base excess decreased according to the amount of lactated Ringer's solution used in both groups and these results were significant. Arterial blood gas and serum electrolyte levels were checked 4 times during the study in each patient: just after the operation start, after infusing 3,000 ml and 6,000 ml of lactated Ringer's solution during operation, and 30 minutes after arrival at the postanesthesia care unit. Group II (n = 11) was made up of patients who had received liver lobectomy with cirrhosis above a moderate level. Group I (n = 21) was made up of patients who had received liver lobectomy without cirrhrosis. Methods: Thirty-two patients were divided into two groups.

In this study, we evaluated the effects of infusing large amount of lactated Ringer's solution on acid-base and serum electrolytes during liver surgery in cirrhosis patients. Background: Changes in acid-base balance and serum electrolytes by infusion of lactated Ringer's solution in liver cirrhosis patienst during liver surgery are poorly characterized.
