Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive

Zhang, Jun; Qiao, Hui; He, Zong-Syun; Wang, Yun; Che, Xuehua; Li, Weimin

doi:10.6061/clinics/2012(10)06

Cited by 61 publications

(58 citation statements)

References 33 publications

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“…It has been demonstrated that the PPV was comparable with the SVV (32). Monitoring and minimizing PPV (≤10%) by volume loading during high-risk surgery improved postoperative outcome and decreased the length of hospital stay (33,34). However, it is important to mention that all of these studies were conducted in patients without significant cardiac arrhythmias.…”

Section: Hypovolemia and Outcomementioning

confidence: 98%

Can we Improve Outcome in High Risk Surgery?

Mikor¹,

Molnár²

2013

Turk J Anesth Reanim

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191Despite the small number of high-risk surgical patients in comparison to all surgical patients, they account for the largest proportion of overall perioperative mortality. Goal directed hemodynamic support may result in a lower incidence of complications and reduced length of hospital stay in these patients. Beyond the standard monitoring of circulation, such as blood pressure and heart rate, further parameters and procedures such as pulse pressure/ stroke volume variation-, stroke volume/cardiac index-, and central venous oxygen saturation-guided resuscitation may improve the outcome of highrisk surgical patients. The aim of this review is to focus on the results of animal and clinical studies investigating the usefulness of these indices in the context of goal-directed perioperative support.

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Section: Hypovolemia and Outcomementioning

confidence: 98%

Can we Improve Outcome in High Risk Surgery?

Mikor¹,

Molnár²

2013

Turk J Anesth Reanim

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“…21,27 The GDFT was performed with two CardioQ ® in two RCT, 21,25 in two cases with Flotrac ® 28,29 with LiDCO Rapid ® in one case 27 and through calculation of pulse pressure variation in another case. 26 The characteristics of the patients included are shown in Table 3.…”

Section: Characteristics Of Studies Includedmentioning

confidence: 99%

Colloids versus crystalloids in objective-guided fluid therapy, systematic review and meta-analysis. Too early or too late to draw conclusions

Ripollés

Espinosa²,

Casans

et al. 2015

Brazilian Journal of Anesthesiology (English Edition)

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Because of the limitations of this meta-analysis due to the small number of randomized clinical trials and patients included, the results should be taken cautiously, and the performance of new randomized clinical trials is proposed, with enough statistical power, comparing balanced and unbalanced colloids to balanced and unbalanced crystalloids, following the protocols of GDFT, considering current guidelines and suggestions made by groups of experts.

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Section: Hypovolemia and Outcomementioning

confidence: 99%

Untitled

2013

Turk J Anesth Reanim

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191Yüksek riskli cerrahi hastaları tüm cerrahi hastalarına kıyasla az sayıda olmalarına rağmen, tüm perioperatif mortalitenin en büyük kısmından sorumludurlar. Bu hastalarda hedefe yönelik hemodinamik destek daha düşük bir komplikasyon insidansına ve hastanede yatış süresinde azalmaya neden olabilir. Kan basıncı ve kalp hızı gibi dolaşımın standart takibi ötesinde nabız basıncı/atım hacmi varyasyonu-, atım hacmi/kalp indeksi ve santral venöz oksijen satürasyonu-güdümlü resüsitasyon gibi daha ileri parametreler ve uygulamalar yüksek riskli cerrahi hastalarda sonucu iyileş-tirebilir. Bu derlemenin amacı hedefe yönelik perioperatif destek bağla-mında bu endekslerin yararlılığını araştıran hayvan çalışmalarının ve klinik çalışmaların sonuçlarına odaklanmaktır.Anahtar Kelimeler: Yüksek riskli cerrahi, hedefe yönelik terapi, nabız basıncı varyasyonu, santral venöz oksijen satürasyonu, atım hacmi, sonucun iyileştirilmesi Despite the small number of high-risk surgical patients in comparison to all surgical patients, they account for the largest proportion of overall perioperative mortality. Goal directed hemodynamic support may result in a lower incidence of complications and reduced length of hospital stay in these patients. Beyond the standard monitoring of circulation, such as blood pressure and heart rate, further parameters and procedures such as pulse pressure/stroke volume variation-, stroke volume/cardiac index-, and central venous oxygen saturation-guided resuscitation may improve the outcome of high-risk surgical patients. The aim of this review is to focus on the results of animal and clinical studies investigating the usefulness of these indices in the context of goal-directed perioperative support.Key Words: High-risk surgery, goal directed therapy, pulse pressure variation, central venous oxygen saturation, stroke volume, improved outcome Abstract / Özet

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Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive

Cited by 61 publications

References 33 publications

Can we Improve Outcome in High Risk Surgery?

Can we Improve Outcome in High Risk Surgery?

Colloids versus crystalloids in objective-guided fluid therapy, systematic review and meta-analysis. Too early or too late to draw conclusions

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