Fluid management is a critical aspect of anesthesia and perioperative care, aimed at maintaining optimal intravascular volume, tissue perfusion, and electrolyte balance during surgical procedures. It involves the judicious administration of crystalloids, colloids, blood products, and pharmacologic agents based on the patient’s hemodynamic status, surgical requirements, and comorbid conditions. Both fluid overload and hypovolemia can lead to serious complications such as pulmonary edema, hypotension, or acute kidney injury, making precise management essential. Goal-directed fluid therapy (GDFT) has emerged as a best-practice approach, utilizing dynamic indicators like stroke volume variation and cardiac output monitoring to tailor fluid administration.

Advances in noninvasive monitoring devices have further improved intraoperative decision-making. In anesthesia, fluid therapy is closely tied to anesthetic technique, patient positioning, blood loss, and temperature control. Enhanced Recovery After Surgery (ERAS) protocols emphasize restrictive or balanced fluid strategies to minimize complications and speed recovery.

In our journal, we aim to highlight studies exploring goal-directed fluid therapy, predictive analytics, and the role of crystalloids versus colloids in optimizing outcomes. Research into fluid dynamics during trauma, sepsis, or complex surgical interventions will significantly contribute to advancing precision in anesthetic care.