Original Investigation

Standard Intraoperative Fluid Practices During the 2024 Intravenous Fluid Shortage

JAMA Network Open 10.1001/jamanetworkopen.2026.34064

September 15, 2026 at 11:00 AM EDT

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In this cohort study’s natural experiment, grossly reduced intraoperative crystalloid fluid administration was associated with lower urine output, reduced urinary catheter use, and fewer hospital readmissions, without worse patient-centered outcomes. These results challenge standard intraoperative fluid practices.

Corresponding Author: Matthias Eikermann, MD, PhD, Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467 (meikermann@montefiore.org).

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