Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive
نویسندگان
چکیده
منابع مشابه
Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive
OBJECTIVE The optimal strategy for fluid management during gastrointestinal surgery remains unclear. Minimizing the variation in arterial pulse pressure, which is induced by mechanical ventilation, is a potential strategy to improve postoperative outcomes. We tested this hypothesis in a prospective, randomized study with lactated Ringer's solution and 6% hydroxyethyl starch solution. METHOD A...
متن کاملCLINICAL SCIENCE Intraoperative fluid management in open gastro- intestinal surgery: goal-directed versus restrictive
METHOD: A total of 60 patients who were undergoing gastrointestinal surgery were randomized into a restrictive lactated Ringer’s group (n = 20), a goal-directed lactated Ringer’s group (n = 20) and a goal-directed hydroxyethyl starch group (n = 20). The goal-directed fluid treatment was guided by pulse pressure variation, which was recorded during surgery using a simple manual method with a Dat...
متن کاملIntraoperative Goal-directed Fluid Therapy in Elective Major Abdominal Surgery
Objectives: To compare the effects of intraoperative goal-directed fluid therapy (GDFT) with conventional fluid therapy, and determine whether there was a difference in outcome between studies that did and did not use Enhanced Recovery After Surgery (ERAS) protocols. Methods: Meta-analysis of randomized controlled trials of adult patients undergoing elective major abdominal surgery comparing in...
متن کاملGoal-directed therapy in intraoperative fluid and hemodynamic management
Intraoperative fluid management is pivotal to the outcome and success of surgery, especially in high-risk procedures. Empirical formula and invasive static monitoring have been traditionally used to guide intraoperative fluid management and assess volume status. With the awareness of the potential complications of invasive procedures and the poor reliability of these methods as indicators of vo...
متن کاملDoes Restrictive Intraoperative Fluid Management Alter Outcome after Intraabdominal Surgery?
To the Editor:—I read with great interest the recent article by Nisanevich et al. suggesting that restricted fluid therapy for intraabdominal surgery reduces postoperative morbidity. My comments focus on the description of the statistical methods and their application to the data. The authors mention the use of both the chi-square test and Fisher exact test for the analysis of categorical data....
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ژورنال
عنوان ژورنال: Clinics
سال: 2012
ISSN: 1980-5322
DOI: 10.6061/clinics/2012(10)06