Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: A meta-analysis of randomized controlled trials

British Journal of Anaesthesia

Volumn 103, Issue 5, 2009, Pages 637-646

  Giglio, M T ^a   Marucci, M ^a   Testini, M ^a   Brienza, N ^a  

^a UNIVERSITY OF BARI   (Italy)

Author keywords

Complications, hypovolaemia; Fluids, i.v.; Oxygen, transport; Surgery, non cardiac; Surgery, postoperative period

Indexed keywords

ALANINE AMINOTRANSFERASE; ASPARTATE AMINOTRANSFERASE; BILIRUBIN; INOTROPIC AGENT;

ABDOMINAL ABSCESS; ABDOMINAL BLEEDING; ABDOMINAL DISTENSION; ABDOMINAL INFECTION; ABDOMINAL SURGERY; ALANINE AMINOTRANSFERASE BLOOD LEVEL; ANASTOMOSIS LEAKAGE; ARTICLE; ASPARTATE AMINOTRANSFERASE BLOOD LEVEL; BILIRUBIN BLOOD LEVEL; BLEEDING; CLINICAL TRIAL; CLOSTRIDIUM DIFFICILE INFECTION; COCHRANE LIBRARY; CONTROLLED CLINICAL TRIAL; DATA SYNTHESIS; DESCENDING AORTA SURGERY; DIARRHEA; DIGESTIVE SYSTEM FUNCTION DISORDER; ELECTIVE SURGERY; EMBASE; EMERGENCY SURGERY; EVISCERATION; FISTULA; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL OBSTRUCTION; GOAL DIRECTED THERAPY; GYNECOLOGIC SURGERY; HEMODYNAMIC THERAPY; HEMODYNAMICS; HIGH RISK PATIENT; HUMAN; HYPOVOLEMIA; ILEUS; INTESTINE OBSTRUCTION; LIVER DISEASE; LIVER INJURY; MAJOR CLINICAL STUDY; MAJOR SURGERY; MEDLINE; META ANALYSIS; ORTHOPEDIC SURGERY; OXYGENATION; PANCREATITIS; PARALYTIC ILEUS; PERFUSION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE NAUSEA; POSTOPERATIVE PERIOD; POSTOPERATIVE VOMITING; PRIORITY JOURNAL; RADIODIAGNOSIS; REOPERATION; SENSITIVITY ANALYSIS; STOMACH FISTULA; STOMACH OBSTRUCTION; SURGICAL RISK; SYSTEMATIC REVIEW; THERAPY; UROLOGIC SURGERY; VASCULAR SURGERY; WOUND HEMORRHAGE;

EID: 74949092815     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aep279     Document Type: Review

References (60)

1. Abbas SM, Hill AG. Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia 2008; 63: 44-51
2. Ackland G, Grocott MPW, Mythen MG. Understanding gastrointestinal perfusion in critical care: so near, and yet so far. Crit Care 2000; 4: 269-281
3. Ayuse T, Brienza N, O'Donnell CP, Robotham JL. Pressure-flow analysis of portal vein and hepatic artery interactions in porcine liver. Am J Physiol 1994; 267: H1233-42
4. Bender JS, Smith-Meek MA, Jones CE. Routine pulmonary artery catheterization does not reduce morbidity and mortality of elective vascular surgery: results of a prospective, randomized trial. Ann Surg 1997; 226: 229-236
5. Bennett-Guerrero E, Welsby I, Dunn TJ, et al. The use of a postoperative morbidity survey to evaluate patients with prolonged hospitalization after routine, moderate-risk, elective surgery. Anesth Analg 1999; 89: 514-519
6. Bishop MH, Shoemaker WC, Appel P, et al. Prospective, randomized trial of survivor values of cardiac index, oxygen delivery, and oxygen consumption as resuscitation endpoints in severe trauma. Arch Surg 1992; 127: 1175-1179
7. Boyd O, Grounds M, Bennett D. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. J Am Med Assoc 1993; 270: 2699-2708
8. Brandstrup B, Tonnesen H, Beier-Holgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens-a randomized assessor-blinded multicenter trial. Ann Surg 2003; 238: 641-648
9. Brienza N, Dalfino L, Cinnella G, Diele C, Bruno F, Fiore T. Jaundice in critical illness: promoting factors of a concealed reality. Intensive Care Med 2006; 32: 267-274
10. Brienza N, Giglio MT, Marucci M, Fiore T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study. Crit Care Med 2009; 37: 2079-2090
11. Bundgaard-Nielsen M, Holte K, Secher NH, Kehlet H. Monitoring of perioperative fluid administration by individualized goal-directed therapy. Acta Anaesthesiol Scand 2007; 51: 331-340
12. Chytra I, Pradl R, Bosman R, Pelnár P, Kasal E, Zidková A. Esophageal Doppler-guided fluid management decreases blood lactate levels in multiple-trauma patients: A randomized controlled trial. Crit Care 2007; 11: R24
13. Conway DH, Mayall R, Abdul-Latif MS, Gilligan S, Tackaberry C. Randomized controlled clinical trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery. Anaesthesia 2002; 57: 845-849
14. Copeland GP, Jones D, Walters M. POSSUM: A scoring system for surgical audit. Br J Surg 1991; 78: 355-360
15. Davies SJ, Wilson RJT. Preoperative optimization of high risk surgical patient. Br J Anaesth 2004; 93: 121-128
16. Deeks JJ, Higgins JPT, Altman DG. Chapter 9: Analysing data undertaking meta-analyses. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions, Version 5.0.1 (updated September 2008). The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
17. Dindo D, Demartines N, Clavien PA. Classification of surgical complication. A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-213
18. Donati A, Cornacchini O, Loggi S, et al. A comparison among portal lactate, intramucosal sigmoid pH and deltaCO2 as indices of complications in patients undergoing abdominal aortic aneurysm surgery. Anesth Analg 2004; 99: 1024-1031
19. Donati A, Loggi S, Preiser JC, et al. Goal-directed intraoperative therapy reduces morbidity and length of hospital stay in high-risk surgical patients. Chest 2007; 132: 1817-1824
20. Faust TW, Picker O, Beck C, Pannen B. Liver protection in the perioperative setting. Best Pract Res Clin Anaesthesiol 2008; 22: 209-224
21. Fenwick E, Wilson J, Sculpher M, Claxton K. Pre-operative optimisation employing dopexamine or adrenaline for patients undergoing major elective surgery: A cost-effective analysis. Intensive Care Med 2002; 28: 599-608
22. Filsoufi F, Rahmanian PB, Castillo JC, Scurlock C, Legnani PE, Adams DH. Predictors and outcome of gastrointestinal complications in patients undergoing cardiac surgery. Ann Surg 2007; 246: 323-329 (Pubitemid 47196532)
23. Gan TJ, Soppitt A, Maroof M, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology 2002; 97: 820-826
24. Guest JF, Boyd O, Hart WM, Grounds RM, Bennett ED. A cost analysis of a treatment policy of deliberate increase in oxygen delivery in high risk surgical patients. Intensive Care Med 1997; 23: 85-90
25. Hamilton-Davies C, Mythen MG, Salmon JB, Jacobson D, Shukla A, Webb AR. Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry. Intensive Care Med 1997; 23: 276-281
26. Higgins JPT, Altman DG. Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions, Version 5.0.1 (updated September 2008). The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org
27. Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002; 21: 1539-1558
28. Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Br Med J 2003; 327: 557-560
29. Holte K, Foss NB, Andersen J, et al. Liberal or restrictive fluid administration in fast-track colonic surgery: A randomized, double-blind study. Br J Anaesth 2007; 99: 500-508 (Pubitemid 47412491)
30. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of randomized clinical trials: is blinding necessary? Control Clin Trials 1996; 17: 1-12
31. Jakob SM, Ruokonen E, Takala J. Assessment of the adequacy of systemic and regional perfusion after cardiac surgery. Br J Anaesth 2000; 84: 571-577
32. Juni P, Witschi A, Bloch R, Egger M. The hazards of scoring the quality of clinical trials for meta-analysis. J Am Med Assoc 1999; 282: 1054-1060
33. Kern JW, Shoemaker WC. Meta-analysis of hemodynamic optimization in high-risk patient. Crit Care Med 2002; 30: 1686-1692
34. Khuri S, Henderson W, De Palma R, et al. Determinants of longterm survival after major surgery and the adverse effect of postoperative complications. Ann Surg 2005; 242: 326-343
35. Kusano C, Baba M, Takao S, et al. Oxygen delivery as a factor in the development of fatal postoperative complications after oesophagectomy. Br J Surg 1997; 84: 252-257
36. Lang M, Niskanen M, Miettinen P, Alhava E, Takala J. Outcome and resource utilization in gastroenterological surgery. Br J Surg 2001; 88: 1006-1014
37. Lau J, Ioannidis JP, Terrin N, Schmid CH, Olkin I. The case of the misleading funnel plot. Br Med J 2006; 333: 597-600
38. Lefebre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions, Version 5.0.1 (updated September 2008). The Cochrane Collaboration, 2008; Available from www.cochrane-handbook.org
39. Lobo SM, Salgado PF, Castillo VG, et al. Effects of maximizing oxygen delivery on morbidity and mortality in high-risk surgical patients. Crit Care Med 2000; 28: 3396-3404
40. Lopes M, Oliveira M, Pereira V, Lemos IP, Auler JO Jr, Michard F. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: A pilot randomized controlled trial. Crit Care 2007; 11: R100
41. McAuley L, Pham B, Tugwell P, Moher D. Does the inclusion of grey literature influence estimates of intervention effectiveness reported in meta-analyses? Lancet 2000; 356: 1228-1231
42. Moher D, Pham B, Jones A, et al. Does quality of reports of randomised trials affect estimate of intervention efficacy reported in meta-analysis? Lancet 1998; 352: 609-613
43. Mythen MG. Postoperative gastrointestinal tract dysfunction. Anesth Analg 2005; 100: 196-204
44. Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 1995; 130: 423-429
45. Nisanevich V, Felsenstein I, Almogy G, Weissman C, Einav S, Matot I. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology 2005; 103: 25-32
46. Noblett SE, Snowden CP, Shenton BK, Horgan AF. Randomized clinical trial assessing the effect of Doppler-optimized fluid management on outcome after elective colorectal resection. Br J Surg 2006; 93: 1069-1076
47. Okano N, Miyoshi S, Owada R, et al. Impairment of hepatosplanchnic oxygenation and increase of serum hyaluronate during normothermic and mild hypothermic cardiopulmonary bypass. Anesth Analg 2002; 95: 278-286
48. Pearse R, Dawson D, Fawcett J, Rhodes A, Grounds RM, Bennett ED. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial. Crit Care 2005; 9: 687-693
49. Poeze M, Greve JWM, Ramsay G. Meta-analysis of hemodynamic optimization: relationship to methodological quality. Crit Care 2005; 9: R771-9
50. Sandham JD, Hull RD, Brant RF, et al. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med 2003; 348: 5-14
51. Scottish Intercollegiate Guidelines Network (SIGN) 50: A Guideline Developer's Handbook. Available from http://www.sign.ac.uk/ guidelines/fulltext/ 50/index.html
52. Shoemaker WC, Appel PL, Kram HB. Haemodynamic and oxygen transport responses in survivors and nonsurvivors of high-risk surgery. Crit Care Med 1993; 21: 977-990
53. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest 1988; 94: 1176-1186
54. Sido B, Teklote JR, Hartel M, Friess H, Buchler MW. Inflammatory response after abdominal surgery. Best Pract Res Clin Anaesthesiol 2004; 18: 439-454
55. Takala J. Determinants of splanchnic blood flow. Br J Anaesth 1997; 77: 50-58
56. Testini M, Scacco S, Loiotila L, et al. Comparison of oxidative phosphorylation in the anastomosis of the small and large bowel. An experimental study in the rabbit. Eur Surg Res 1998; 30: 1-7
57. Velmahos GC, Demetriades D, Shoemaker WC, et al. Endpoints of resuscitation of critically injured patients: normal or supranormal? A prospective randomized trial. Ann Surg 2000; 232: 409-418
58. Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/ failure. On behalf of the Working Group of Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med 1996; 22: 707-710
59. Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth 2005; 95: 634-642
60. Wilson J, Woods I, Fawcett J, et al. Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery. Br Med J 1999; 318: 1099-1103