ABSTRACT

As a consequence of underlying diseases and of therapeutic manipulations, patients may present for surgery with potentially harmful disorders of acid-base equilibrium and serum electrolytes. Perioperative fluids also exert predictable effects on acid-base status and serum electrolytes that can alter underlying acid-base and electrolyte disorders or generate new disorders. Precise perioperative management of acid-base status, fluids, and electrolytes may limit perioperative morbidity and mortality.