Goal-directed Intraoperative Fluid Administration Reduces Length of Hospital Stay after Major Surgery

By T. Gan, A. Soppitt, M. Maroof, H. El-Moalem, K. Robertson, E. Moretti, P. Dwane, P. Glass. Anesthesiology, 2002

992 citations recorded by the source corpus.

Subfields: Cardiology and Cardiovascular Medicine, Surgery

View Paper: https://www.semanticscholar.org/paper/883d32e1ebc48f5c7fe4f3277bb363c9411bd7e3

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Cardiology and Cardiovascular Medicine

1. P. Marik
2. O. Ljungqvist

In Surgery

1. R. Cavallazzi
2. P. Marik
3. O. Ljungqvist
4. K. Fearon

Citations in the corpus

• A Rational Approach to Perioperative Fluid Management (2008, background): “dling, which revealed no large differences between the total fluid volume of the two studied groups.(30,42) Accord-”
• Does the Central Venous Pressure Predict Fluid Responsiveness? An Updated Meta-Analysis and a Plea for Some Common Sense* (2013, background): “A fluid optimization protocol based on maximizing perioperative stroke volume (SV) and cardiac output (CO) has been shown to reduce postoperative comphcations and length of stay in patients undergoing major surgery (1-5).”
• Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice (2015, methodology): “Goal-directed fluid therapy (GDFT) aims to maintain central normovolaemia by utilizing changes in stroke volume measured by a minimally invasive cardiac output monitor to optimize the patients on their individual Frank–Starling curve.(96,203) Trans-oesophageal Doppler (TOD)-guided GDFT has been show”
• Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. (2005, neutral): “Right hemicolectomy (n )9 15 Sub-total colectomy (n )4 0 Reversal of Hartmann’s (n )2 3 Crohn’s resection (n )1 0 Operative POSSUM 16 (9) 15.5 ( 7 ) Operative duration (min) 157 (68) 149 (65) Estimated blood loss (ml) 500 (975) 500 (700) Stoma sited (n )2 7 23 Epidural sited (n )1 1 11”
• Risk Factors for Postoperative Nausea and Vomiting (2006, background): “Other possible surgery-related PONV risk factors include less preoperative or intraoperative fluid administration (49,50) or intraoperative colloid versus crystalloid administration (51), when a large volume of crystalloid in a prolonged surgery may result in gastrointestinal tissue edema leading to”
• Effect of Intraoperative Fluid Management on Outcome after Intraabdominal Surgery (2005, background): “administration was associated with improved indices of gut perfusion and reduced intestinal dysfunction.(27,28)”
• Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445] (2005, background): “Use of the oesophageal Doppler probe to guide fluid administration during surgery is also associated with improved outcome [9-13] Unfortunately the Doppler probe is not readily tolerated by conscious patients, restricting use to patients who are ventilated following surgery.”