Conservative vs restrictive individualized goal-directed fluid replacement strategy in major abdominal surgery: A prospective randomized trial

Archives of Surgery

Volumn 145, Issue 12, 2010, Pages 1193-1200

  Futier, Emmanuel ^a,c   Constantin, Jean Michel ^a,e   Petit, Antoine ^a,e   Chanques, Gerald ^d   Kwiatkowski, Fabrice ^b   Flamein, Renaud ^a,e   Slim, Karem ^a,e   Sapin, Vincent ^c   Jaber, Samir ^d   Bazin, Jean Etienne ^a,e  

^a HÔTEL DIEU   (France)

^b CENTRE JEAN PERRIN   (France)

^c UNIVERSITY HOSPITAL OF CLERMONT FERRAND   (France)

^d HÔPITAL SAINT ELOI   (France)

^e Estaing Hospital   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; DOBUTAMINE; NORADRENALIN; RINGER LACTATE SOLUTION;

ABDOMINAL SURGERY; ADULT; ANASTOMOSIS LEAKAGE; AORTA FLOW; ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED STUDY; CRYSTALLOID; FEMALE; FLUID THERAPY; HUMAN; HYPOVOLEMIA; INCIDENCE; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; MORBIDITY; MULTIVARIATE ANALYSIS; OXYGEN SATURATION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SEPSIS; STATISTICAL SIGNIFICANCE; TISSUE OXYGENATION;

ABDOMEN; ADULT; AGED; ANALYSIS OF VARIANCE; CENTRAL VENOUS PRESSURE; CONFIDENCE INTERVALS; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FEMALE; FLUID THERAPY; FOLLOW-UP STUDIES; HOSPITAL MORTALITY; HUMANS; HYPOVOLEMIA; INTRAOPERATIVE CARE; ISOTONIC SOLUTIONS; LAPAROTOMY; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; MULTIVARIATE ANALYSIS; ODDS RATIO; OXYGEN; OXYGEN CONSUMPTION; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SURVIVAL RATE; TREATMENT OUTCOME;

EID: 78149270620     PISSN: 00040010     EISSN: 15383644     Source Type: Journal    
DOI: 10.1001/archsurg.2010.275     Document Type: Article

References (57)

1. Jacob M, Chappell D, Rehm M. Clinical update: perioperative fluid management. Lancet. 2007;369(9578):1984-1986.
2. 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(6):1817-1824.
3. Mythen MG, Webb AR. Intra-operative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med. 1994;20(2):99-104.
4. Shoemaker WC, Appel PL, Kram HB. Role of oxygen debt in the development of organ failure sepsis, and death in high-risk surgical patients. Chest. 1992;102 (1):208-215.
5. Chappell D, Jacob M, Hofmann-Kiefer K, Conzen P, Rehm M. A rational approach to perioperative fluid management. Anesthesiology. 2008;109(4):723-740.
6. Boldt J. Fluid management of patients undergoing abdominal surgery: more questions than answers. Eur J Anaesthesiol. 2006;23(8):631-640.
7. MacKay G, Fearon K, McConnachie A, Serpell MG, Molloy RG, O'Dwyer PJ. Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery. Br J Surg. 2006;93(12):1469-1474.
8. 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(4):500-508.
9. Lobo DN, Bostock KA, Neal KR, Perkins AC, Rowlands BJ, Allison SP. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial. Lancet. 2002;359(9320):1812-1818.
10. Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery. Anesth Analg. 2005;101(2):601-605.
11. Brandstrup B, Tønnesen H, Beier-Holgersen R, et al; Danish Study Group on Perioperative Fluid Therapy. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg. 2003;238(5):641-648.
12. 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(1):25-32.
13. Rahbari NN, Zimmermann JB, Schmidt T, Koch M, Weigand MA, Weitz J. Meta-analysis of standard, restrictive and supplemental fluid administration in colorectal surgery. Br J Surg. 2009;96(4):331-341.
14. Kimberger O, Arnberger M, Brandt S, et al. Goal-directed colloid administration improves the microcirculation of healthy and perianastomotic colon. Anesthesiology. 2009;110(3):496-504.
15. Kehlet H, Bundgaard-Nielsen M. Goal-directed perioperative fluid management: why, when, and how? Anesthesiology. 2009;110(3):453-455.
16. Walsh SR, Tang TY, Farooq N, Coveney EC, Gaunt ME. Perioperative fluid restriction reduces complications after major gastrointestinal surgery. Surgery. 2008; 143(4):466-468. (Pubitemid 351406382)
17. Holte K, Kehlet H. Fluid therapy and surgical outcomes in elective surgery: a need for reassessment in fast-track surgery. J Am Coll Surg. 2006;202(6):971-989. (Pubitemid 43776428)
18. Marjanovic G, Villain C, Juettner E, et al. Impact of different crystalloid volume regimes on intestinal anastomotic stability. Ann Surg. 2009;249(2):181-185.
19. Shoemaker WC, Thangathurai D, Wo CC, et al. Intraoperative evaluation of tissue perfusion in high-risk patients by invasive and noninvasive hemodynamic monitoring. Crit Care Med. 1999;27(10):2147-2152.
20. Shoemaker WC, Wo CC, Thangathurai D, et al. Hemodynamic patterns of survivors and nonsurvivors during high risk elective surgical operations. World J Surg. 1999;23(12):1264-1271.
21. Jonsson K, Jensen JA, Goodson WH III, West JM, Hunt TK. Assessment of perfusion in postoperative patients using tissue oxygen measurements. Br J Surg. 1987;74(4):263-267.
22. Landis EM. Heteroporosity of the capillary wall as indicated by cinematographic analysis of the passage of dyes. Ann N Y Acad Sci. 1964;116:765-773.
23. Bundgaard-Nielsen M, Holte K, Secher NH, Kehlet H. Monitoring of perioperative fluid administration by individualized goal-directed therapy. Acta Anaesthesiol Scand. 2007;51(3):331-340. (Pubitemid 46271112)
24. Wilson J, Woods I, Fawcett J, et al. Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery. BMJ. 1999;318(7191):1099-1103. (Pubitemid 29192147)
25. Venn R, Steele A, Richardson P, Poloniecki J, Grounds M, Newman P. Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. Br J Anaesth. 2002;88(1):65-71. (Pubitemid 34048564)
26. Sinclair S, James S, Singer M. Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. BMJ. 1997;315(7113):909-912.
27. Tote SP, Grounds RM. Performing perioperative optimization of the high-risk surgical patient. Br J Anaesth. 2006;97(1):4-11.
28. 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(5):634-642.
29. Sinclair S, Singer M; National Confidential Enquiry into Perioperative Deaths. Perioperative haemodynamic monitoring and fluid management: NCEPOD revisited. Br J Hosp Med. 1995;53(4):166-168.
30. Collaborative Study Group on Perioperative ScvO2 Monitoring. Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients. Crit Care. 2006;10(6):R158.
31. Pearse R, Dawson D, Fawcett J, Rhodes A, Grounds RM, Bennett ED. Changes in central venous saturation after major surgery, and association with outcome. Crit Care. 2005;9(6):R694-R699.
32. Pearse RM, Hinds CJ. Should we use central venous saturation to guide management in high-risk surgical patients? Crit Care. 2006;10(6):181.
33. Levy MM, Fink MP, Marshall JC, et al; SCCM/ESICM/ACCP/ATS/SIS. 2001 SCCM/ ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Crit Care Med. 2003;31(4):1250-1256.
34. Ljungqvist O, Søreide E. Preoperative fasting. Br J Surg. 2003;90(4):400-406.
35. Mariette C, Alves A, Benoist S, Bretagnol F, Mabrut JY, Slim K; Société Française de Chirurgie Digestive. Perioperative care in digestive surgery [in French]. J Chir (Paris). 2005;142(1):14-28.
36. Contant CM, Hop WC, van't Sant HP, et al. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet. 2007;370(9605): 2112-2117.
37. Dellamonica P, Bernard E. Antibiotic prophylaxis in colorectal surgery [in French]. Ann Fr Anesth Reanim. 1994;13(suppl 5):S145-S153.
38. Ballay JL, Mallédant Y, Bléry C, Quemener C. Antibiotic prophylaxis in gastroduodenal surgery [in French]. Ann Fr Anesth Reanim. 1994;13(suppl 5):S135-S137.
39. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248(2):189-198.
40. Boulnois JL, Pechoux T. Non-invasive cardiac output monitoring by aortic blood flow measurement with the Dynemo 3000. J Clin Monit Comput. 2000;16(2): 127-140.
41. SlamaM,Masson H, Teboul JL, et al. Monitoring of respiratory variations of aortic blood flow velocity using esophageal Doppler. Intensive Care Med. 2004; 30(6):1182-1187.
42. Monnet X, Rienzo M, Osman D, et al. Esophageal Doppler monitoring predicts fluid responsiveness in critically ill ventilated patients. Intensive Care Med. 2005; 31(9):1195-1201.
43. Prytherch DR, Whiteley MS, Higgins B, Weaver PC, Prout WG, Powell SJ. POSSUM and Portsmouth POSSUM for predicting mortality: Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity. Br J Surg. 1998; 85(9):1217-1220.
44. 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(2):514-519.
45. 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 [ISRCTN38797445]. Crit Care. 2005; 9(6):R687-R693.
46. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205-213. (Pubitemid 38963009)
47. Bernard GR, Artigas A, Brigham KL, et al. The American-European Consensus Conference on ARDS: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994;149(3, pt 1):818-824. (Pubitemid 24082248)
48. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: the confusion assessment method: a new method for detection of delirium. Ann Intern Med. 1990;113(12):941-948.
49. Lopes MR, Oliveira MA, Pereira VO, 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(5):R100.
50. Kwiatkowski F, Girard M, Hacene K, Berlie J. Sem: a suitable statistical software adapted for research in oncology [in French]. Bull Cancer. 2000;87(10):715-721.
51. Chappell D, Jacob M, Hofmann-Kiefer K, et al. Hydrocortisone preserves the vascular barrier by protecting the endothelial glycocalyx. Anesthesiology. 2007; 107(5):776-784.
52. 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(9):1069-1076.
53. Gan TJ, Soppitt A, Maroof M, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology. 2002; 97(4):820-826.
54. Mythen MG, Webb AR. The role of gut mucosal hypoperfusion in the pathogenesis of post-operative organ dysfunction. Intensive Care Med. 1994;20(3): 203-209. (Pubitemid 24088584)
55. Reinhart K, Rudolph T, Bredle DL, Hannemann L, Cain SM. Comparison of central-venous to mixed-venous oxygen saturation during changes in oxygen supply/demand. Chest. 1989;95(6):1216-1221.
56. Holte K, Sharrock NE, Kehlet H. Pathophysiology and clinical implications of perioperative fluid excess. Br J Anaesth. 2002;89(4):622-632.
57. Copeland GP, Jones D, Walters M. POSSUM: a scoring system for surgical audit. Br J Surg. 1991;78(3):355-360.