Goal-directed fluid therapy based on stroke volume variations improves fluid management and gastrointestinal perfusion in patients undergoing major orthopedic surgery

Medical Principles and Practice

Volumn 23, Issue 5, 2014, Pages 413-420

  Peng, Ke ^a   Li, Jian ^a   Cheng, Hao ^a   Ji, Fu Hai ^a  

^a THE FIRST AFFILIATED HOSPITAL OF SOOCHOW UNIVERSITY   (China)

Author keywords

FloTrac Vigileo system; Goal directed fluid therapy; Orthopedic surgery; Stroke volume variation

Indexed keywords

CARBON DIOXIDE; HEMOGLOBIN; LACTIC ACID;

ACUTE LUNG INJURY; ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTERIAL PH; ARTICLE; BLEEDING; CARBON DIOXIDE TENSION; CENTRAL VENOUS PRESSURE; COLLOID; COMA; CONTROLLED STUDY; CRYSTALLOID; DEEP VEIN THROMBOSIS; FEMALE; FLATULENCE; FLUID THERAPY; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL PERFUSION; GENERAL ANESTHESIA; GOAL DIRECTED FLUID THERAPY; HEART ARRHYTHMIA; HEART FAILURE; HEART OUTPUT; HEART RATE; HEMATOCRIT; HEMODYNAMICS; HOSPITALIZATION; HUMAN; HYPOTENSION; INTESTINE PERFUSION; KIDNEY DISEASE; KIDNEY FAILURE; LIVER DYSFUNCTION; LIVER FAILURE; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; MEAN ARTERIAL PRESSURE; MIDDLE AGED; NAUSEA; NERVOUS SYSTEM PARAMETERS; ORGAN PERFUSION; ORTHOPEDIC SURGERY; PNEUMONIA; POSTOPERATIVE COGNITIVE DYSFUNCTION; POSTOPERATIVE COMPLICATION; SEPTIC SHOCK; STOMACH PH; STROKE VOLUME VARIATION; SUPINE POSITION; SURGICAL MORTALITY; URINE VOLUME; VENTILATOR SUPPORT; VOMITING; WOUND DEHISCENCE; WOUND INFECTION; ADVERSE EFFECTS; BLOOD PRESSURE; CONVALESCENCE; GASTROINTESTINAL DISEASES; GASTROINTESTINAL MOTILITY; HEART STROKE VOLUME; PEROPERATIVE CARE; PHYSIOLOGY; PROCEDURES; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; URINE;

BLOOD PRESSURE; FEMALE; FLUID THERAPY; GASTRIC ACIDITY DETERMINATION; GASTROINTESTINAL DISEASES; GASTROINTESTINAL MOTILITY; HEART RATE; HUMANS; HYPOTENSION; INTRAOPERATIVE CARE; MALE; ORTHOPEDIC PROCEDURES; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; STROKE VOLUME; URINE;

EID: 84928651059     PISSN: 10117571     EISSN: 14230151     Source Type: Journal    
DOI: 10.1159/000363573     Document Type: Article

References (28)

1. Bellamy MC: Wet, dry or something else? Br J Anaesth 2006; 97:755-757.
2. Cavallaro F, Sandroni C, Antonelli M: Functional hemodynamic monitoring and dynamic indices of fluid responsiveness. Minerva Anestesiol 2008; 74:123-135.
3. Bundgaard-Nielsen M, Holte K, Secher NH, et al: Monitoring of peri-operative fluid administration by individualized goal-directed therapy. Acta Anaesthesiol Scand 2007; 51: 331-340.
4. Funk DJ, Moretti EW, Gan TJ: Minimally invasive cardiac output monitoring in the peri-operative setting. Anesth Analg 2009; 108: 887-897.
5. Phan TD, Ismail H, Heriot AG, et al: Improving perioperative outcomes: fluid optimization with the esophageal Doppler monitor, a meta-analysis and review. J Am Coll Surg 2008; 207:935-941.
6. Li J, Ji FH, Yang JP: Evaluation of stroke volume variation obtained by the FloTrac/Vig-ileo system to guide preoperative fluid therapy in patients undergoing brain surgery. J Int Med Res 2012; 40:1175-1181.
7. Cannesson M, Musard H, Desebbe O, et al: The ability of stroke volume variations obtained with Vigileo/FloTrac system to monitor fluid responsiveness in mechanically ventilated patients. Anesth Analg 2009; 108:513-517.
8. Biais M, Bernard O, Ha JC, et al: Abilities of pulse pressure variations and stroke volume variations to predict fluid responsiveness in prone position during scoliosis surgery. Br J Anaesth 2010; 104:407-413.
9. Zhang Z, Lu B, Sheng X, et al: Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis. J Anesth 2011; 25:904-916.
10. 2 and pH variability in ventilated critically ill patients. Crit Care Med 2001; 29:88-95.
11. Bundgaard-Nielsen M, Secher NH, Kehlet H: 'Liberal' vs. 'restrictive' perioperative fluid therapy-a critical assessment of the evidence. Acta Anaesthesiol Scand 2009; 53:843-851.
12. 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; 315:909-912.
13. Lefrant JY, Bruelle P, Aya AG, et al: Training is required to improve the reliability of esoph-ageal Doppler to measure cardiac output in critically ill patients. Intensive Care Med 1998; 24:347-352.
14. Manecke GR: Edwards FloTrac sensor and Vigileo monitor: easy, accurate, reliable cardiac output assessment using the arterial pulse wave. Expert Rev Med Devices 2005; 2: 523-527.
15. Cecconi M, Fasano N, Langiano N, et al: Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Crit Care 2011; 15:R132.
16. Mayer J, Boldt J, Mengistu AM, et al: Goal-directed intraoperative therapy based on au-tocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care 2010; 14:R18.
17. Benes J, Chytra I, Altmann P, et al: Intraop-erative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care 2010; 14:R118.
18. Zhang J, Qiao H, He ZY, et al: Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive. Clinics (Sao Paulo) 2012; 67:1149-1155.
19. Scheeren TW, Wiesenack C, Gerlach H, et al: Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study. J Clin Monit Comput 2013; 27:225-233.
20. McIlroy DR, Kharasch ED: Acute intravascu-lar volume expansion with rapidly administered crystalloid or colloid in the setting of moderate hypovolemia. Anesth Analg 2003; 96:1572-1577.
21. Mythen M, Vercueil A: Fluid balance. Vox Sang 2004; 87(suppl 1):77-81.
22. Valenza F, Aletti G, Fossali T, et al: Lactate as a marker of energy failure in critically ill patients: hypothesis. Crit Care 2005; 9:588-593.
23. Nordin A, Makisalo H, Mildh L: Gut intramu-cosal pH as an early indicator of effectiveness of therapy for hemorrhagic shock. Crit Care Med 1998; 26:1110-1117.
24. 2 gap during shock resuscitation. J Trauma 1998; 45:868-872.
25. Gutierrez G, Palizas F, Doglio G, et al: Gastric intramucosal pH as therapeutic index of tissue oxygenation in critically ill patients. Lancet 1992; 339:195-199.
26. Wang G, Liu S, Liu G: Effects of infusion of different fluids during controlled hypotension on gastric intramucosal pH and postoperative gastroenterological function. J Biomed Res 2011; 25:191-196.
27. Arya N, Sharif MA, Lau LL, et al: Retroperito-neal approach to abdominal aortic aneurysm repair preserves splanchnic perfusion as measured by gastric tonometry. Ann Vasc Surg 2010; 24:321-327.
28. van Haren FM, Pickkers P, Foudraine N, et al: The effects of methylene blue infusion on gastric tonometry and intestinal fatty acid binding protein levels in septic shock patients. J Crit Care 2010; 25:358.e1-358.e7.