How do you decide if patients without contraindications should receive IV fluids during the pre-operative period if they are undergoing surgery during their hospitalization?  

This is an interesting question. The concern is that patients with hypovolemia who undergo anesthesia/surgery will develop acute kidney injury and/or hypotension. Conversely, hypervolemia can lead to problems in the postoperative setting (as shown by the ERAS literature). The current ...

I agree with Dr. @McNellis. Volume status determination remains subjective, and a combination of urine output (and color!), physical exam, patient history, and vital sign review often provides conflicting information requiring subtle interpretation. Hypervolemia leading to pulmonary edema will often...