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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2003 June;27(2):65-8

language: Italian

Infusional therapy in foot surgery

Napoli V., Napoli E.


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The priority objective in intra- and postoperative infusional treatment is to favour the restoral and maintenance of organic homeostasis, which operating stress tends to impair, with biohumoral reactions and haemodynamic modifications that have a protective and reparative significance but which, if not modulated, may represent elements of destabilisation. In foot surgery the reduced biological impact of operations, the limited fluid and haematic losses owing to the limited extent of the operating field, and the regimented use of the haemostatic tourniquet, normally induce only limited changes in the hydric and metabolic endocrine balance which can be completely controlled by correct intraoperative infusion and does not require further postoperative action.

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