Fluid therapy in the perioperative setting-A clinical review

Journal of Intensive Care

Volumn 4, Issue 1, 2016, Pages

  Voldby, Anders Winther ^a   Brandstrup, Birgitte ^a  

^a Holbaek University Hospital   (Denmark)

Author keywords

Fluid therapy; Goal directed fluid therapy; Outcome of surgery; Postoperative complications; Restricted; Third space; Third space loss

Indexed keywords

ABDOMINAL SURGERY; DIURESIS; ELECTIVE SURGERY; EVIDENCE BASED PRACTICE; FLUID THERAPY; HUMAN; HYPERVOLEMIA; HYPOVOLEMIA; INSULIN RESISTANCE; MUSCLE STRENGTH; NAUSEA AND VOMITING; PERIOPERATIVE PERIOD; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; REVIEW; SOFT TISSUE INFLAMMATION; SWEATING; TREATMENT OUTCOME;

EID: 84991035778     PISSN: None     EISSN: 20520492     Source Type: Journal    
DOI: 10.1186/s40560-016-0154-3     Document Type: Review

References (71)

1. Brandstrup B, Tønnesen 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(5):641-8. doi:10.1097/01.sla.0000094387.50865.23.
2. de Aguilar-Nascimento JE, Diniz BN, do Carmo AV, Silveira EAO, Silva RM. Clinical benefits after the implementation of a protocol of restricted perioperative intravenous crystalloid fluids in major abdominal operations. World J Surg. 2009;33(5):925-30. doi:10.1007/s00268-009-9944-2.
3. Kulemann B, Timme S, Seifert G, et al. Intraoperative crystalloid overload leads to substantial inflammatory infiltration of intestinal anastomoses-a histomorphological analysis. Surg (United States). 2013;154(3):596-603. doi: 10.1016/j.surg.2013.04.010.
4. Wuethrich PY, Burkhard FC, Thalmann GN, Stueber F, Studer UE. Restrictive deferred hydration combined with preemptive norepinephrine infusion during radical cystectomy reduces postoperative complications and hospitalization time. Anesthesiology. 2014;120(2):365-77. doi:10.1097/ALN. 0b013e3182a44440.
5. Neal JM, Wilcox RT, Allen HW, Low DE. Near-total esophagectomy: the influence of standardized multimodal management and intraoperative fluid restriction. Reg Anesth Pain Med. 2003;28(4):328-34. doi:10.1016/S1098- 7339(03)00197-4.
6. 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. doi:10.1177/153100350601800129.
7. National Heart and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network L. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med. 2006;354:2564-75.
8. McArdle GT, McAuley DF, McKinley A, Blair P, Hoper M, Harkin DW. Preliminary results of a prospective randomized trial of restrictive versus standard fluid regime in elective open abdominal aortic aneurysm repair. Ann Surg. 2009;250(1):28-34. doi:10.1097/SLA.0b013e3181ad61c8.
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;359:1812-8. doi:10.1016/S0140-6736(02)08711-1.
10. Marjanovic G, Villain C, Juettner E, et al. Impact of different crystalloid volume regimes on intestinal anastomotic stability. Ann Surg. 2009;249(2): 181-5. doi:10.1097/SLA.0b013e31818b73dc.
11. Klein MB, Hayden D, Elson C, et al. The association between fluid administration and outcome following major burn. Ann Surg. 2007;245(4): 622-8. doi:10.1097/01.sla.0000252572.50684.49.
12. WenKui Y, Ning L, JianFeng G, et al. Restricted peri-operative fluid administration adjusted by serum lactate level improved outcome after major elective surgery for gastrointestinal malignancy. Surgery. 2010;147(4): 542-52. doi:10.1016/j.surg.2009.10.036.
13. Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg. 1995;130(4):423-9. http://www.ncbi.nlm.nih.gov/pubmed/7535996.
14. Pearse RM, Harrison DA, MacDonald N, et al. Supplementary: effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery. JAMA. 2014;311(21):2181. doi:10.1001/jama.2014.5305.
15. Varadhan KK, Lobo DN. A meta-analysis of randomised controlled trials of intravenous fluid therapy in major elective open abdominal surgery: getting the balance right. Proc Nutr Soc. 2010;69(4):488-98. doi:10.1017/ S0029665110001734.
16. 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):1069-76. doi:10.1002/bjs.5454.
17. Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(8):556-69. doi:10.1097/EJA.0b013e3283495ba1.
18. Henriksen MG, Hessov I, Dela F, Hansen HV, Haraldsted V, Rodt SA. Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery. Acta Anaesthesiol Scand. 2003;47(2): 191-9. doi:10.1034/j.1399-6576.2003.00047.x.
19. Soop M, Nygren J, Myrenfors P, Thorell A, Ljungqvist O. Preoperative oral carbohydrate treatment attenuates immediate postoperative insulin resistance. Am J Physiol Endocrinol Metab. 2001;280(4):E576-83. http:// www.ncbi.nlm.nih.gov/pubmed/11254464.
20. Hausel J, Nygren J, Lagerkranser M, et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth Analg. 2001; 93(5):1344-50. doi:10.1097/00132586-200304000-00042.
21. Jacob M, Chappell D, Conzen P, Finsterer U, Rehm M. Blood volume is normal after pre-operative overnight fasting. Acta Anaesthesiol Scand. 2008; 52(4):522-9. doi:10.1111/j.1399-6576.2008.01587.x.
22. Güenaga KF, Matos D, Wille-Jørgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev. 2011;9:CD001544. doi:10.1002/14651858.CD001544.pub4.
23. Holte K. Pathophysiology and clinical implications of peroperative fluid management in elective surgery. Dan Med Bull. 2010;57(7):B4156. http:// www.ncbi.nlm.nih.gov/pubmed/20591343.
24. Lamke LO, Nilsson GE, Reithner HL. Insensible perspiration from the skin under standardized environmental conditions. Scand J Clin Lab Invest. 1977; 37(4):325-31. http://www.ncbi.nlm.nih.gov/pubmed/616059.
25. Reithner L, Johansson H, Strouth L. Insensible perspiration during anaesthesia and surgery. Acta Anaesthesiol Scand. 1980;24(5):362-6. http:// www.ncbi.nlm.nih.gov/pubmed/7468126.
26. Jacob M, Chappell D, Hofmann-Kiefer K, Conzen P, Peter K, Rehm M. Determinanten des insensiblen Flüssigkeitsverlustes. Anaesthesist. 2007; 56(8):747-64. doi:10.1007/s00101-007-1235-4.
27. Cox P. Insensible water loss and its assessment in adult patients: a review. Acta Anaesthesiol Scand. 1987;31(8):771-6. http://www.ncbi.nlm.nih.gov/ pubmed/3324617.
28. Reithner L. Insensible water loss from the respiratory tract in patients with fever. Acta Chir Scand. 1981;147(3):163-7. http://www.ncbi.nlm.nih.gov/ pubmed/7331652.
29. Lamke LO, Nilsson G, Reithner L. The influence of elevated body temperature on skin perspiration. Acta Chir Scand. 1980;146(2):81-4. http:// www.ncbi.nlm.nih.gov/pubmed/6774543.
30. Alpert RA, Roizen MF, Hamilton WK, et al. Intraoperative urinary output does not predict postoperative renal function in patients undergoing abdominal aortic revascularization. Surgery. 1984;95(6):707-11. http://www.ncbi.nlm.nih. gov/pubmed/6427960.
31. Engquist A, Brandstrup B. Rationel Vaeske-, Elektrolytbehandling Og Ernaering.; 2015.
32. Lobo DN, Stanga Z, Simpson JA, Anderson JA, Rowlands BJ, Allison SP. Dilution and redistribution effects of rapid 2-litre infusions of 0.9 % (w/v) saline and 5 % (w/v) dextrose on haematological parameters and serum biochemistry in normal subjects: a double-blind crossover study. Clin Sci (Lond). 2001;101(2):173-9. doi:10.1042/CS20000316.
33. Lamke LO, Nilsson GE, Reithner HL. Water loss by evaporation from the abdominal cavity during surgery. Acta Chir Scand. 1977;143(5):279-84. http:// www.ncbi.nlm.nih.gov/pubmed/596094.
34. Roe CF. Effect of bowel exposure on body temperature during surgical operations. Am J Surg. 1971;122(1):13-5. doi:10.1016/0002-9610(71)90338-2.
35. Jacob M, Chappell D, Rehm M. The "third space"-fact or fiction? Best Pract Res Clin Anaesthesiol. 2009;23(2):145-57. doi:10.1016/j.bpa.2009.05.001.
36. Brandstrup B, Svensen C, Engquist A. Hemorrhage and operation cause a contraction of the extracellular space needing replacement-evidence and implications? A systematic review. Surgery. 2006;139(3):419-32. doi:10.1016/j. surg.2005.07.035.
37. Chan ST, Kapadia CR, Johnson AW, Radcliffe AG, Dudley HA. Extracellular fluid volume expansion and third space sequestration at the site of small bowel anastomoses. Br J Surg. 1983;70(1):36-9. http://www.ncbi.nlm.nih. gov/pubmed/6824880.
38. Lobo DN, Stanga Z, Aloysius MM, et al. Effect of volume loading with 1 liter intravenous infusions of 0.9 % saline, 4 % succinylated gelatine (Gelofusine) and 6 % hydroxyethyl starch (Voluven) on blood volume and endocrine responses: a randomized, three-way crossover study in healthy volunteers. Crit Care Med. 2010;38(2):464-70. doi:10.1097/CCM.0b013e3181bc80f1.
39. McIlroy DR, Kharasch ED. Acute intravascular volume expansion with rapidly administered crystalloid or colloid in the setting of moderate hypovolemia. Anesth Analg. 2003;96(6):1572-7. doi:10.1213/01.ANE. 0000061460.59320.B0.
40. 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):909-12. doi:10. 1136/bmj.315.7113.909.
41. Mayer J, Boldt J, Mengistu AM, Röhm KD, Suttner S. Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care. 2010;14(1):R18. doi:10.1186/cc8875.
42. 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):634-42. doi: 10.1093/bja/aei223.
43. Perner A, Haase N, Guttormsen AB, et al. Hydroxyethyl starch 130/0.42 versus Ringer's acetate in severe sepsis. N Engl J Med. 2012;367(2):124-34. doi:10.1056/NEJMoa1204242.
44. Gillies MA, Habicher M, Jhanji S, et al. Incidence of postoperative death and acute kidney injury associated with i.v. 6 % hydroxyethyl starch use: systematic review and meta-analysis. Br J Anaesth. 2014;112(1):25-34. doi:10. 1093/bja/aet303.
45. Jonsson K, Jensen JA, Goodson WH, et al. Tissue oxygenation, anemia, and perfusion in relation to wound healing in surgical patients. Ann Surg. 1991; 214(5):605-13. doi:10.1097/00000658-199111000-00011.
46. Heughan C, Ninikoski J, Hunt TK. Effect of excessive infusion of saline solution on tissue oxygen transport. Surg Gynecol Obstet. 1972;135(2):257-60. http:// www.ncbi.nlm.nih.gov/pubmed/5049950.
47. Bundgaard-Nielsen M, Ruhnau B, Secher NH, Kehlet H. Flow-related techniques for preoperative goal-directed fluid optimization. Br J Anaesth. 2007;98(1):38-44. doi:10.1093/bja/ael287.
48. Hopf HW, Hunt TK, West JM, et al. Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. Arch Surg. 1997;132(9):997- 1004. discussion 1005http://www.ncbi.nlm.nih.gov/pubmed/9301613.
49. Jhanji S, Vivian-Smith A, Lucena-Amaro S, Watson D, Hinds CJ, Pearse RM. Haemodynamic optimisation improves tissue microvascular flow and oxygenation after major surgery: a randomised controlled trial. Crit Care. 2010;14(4):R151. doi:10.1186/cc9220.
50. Adesanya A, Rosero E, Timaran C, Clagett P, Johnston WE. Intraoperative fluid restriction predicts improved outcomes in major vascular surgery. Vasc Endovascular Surg. 2015;42(6):531-6. doi:10.1177/1538574408318474.
51. Booi DI. Perioperative fluid overload increases anastomosis thrombosis in the free TRAM flap used for breast reconstruction. Eur J Plast Surg. 2011; 34(2):81-6. doi:10.1007/s00238-010-0466-9.
52. Lopes MR, Oliveira MA, Pereira VOS, Lemos IPB, Auler JOC, Michard F. Goaldirected fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit Care. 2007; 11(5):R100. doi:10.1186/cc6117.
53. Salzwedel C, Puig J, Carstens A, et al. Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-center, prospective, randomized study. Crit Care. 2013;17(5):R191. doi:10.1186/cc12885.
54. Benes J, Chytra I, Altmann P, et al. Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care. 2010;14:R118. doi:10.1186/cc9070.
55. 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):820-6. doi:10.1097/00000542-200210000-00012.
56. Conway DH, Mayall R, Abdul-Latif MS, Gilligan S, Tackaberry C. Randomised controlled trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery. Anaesthesia. 2002;57(9):845-9. doi:10.1046/j.1365-2044.2002.02708.x.
57. Buettner M, Schummer W, Huettemann E, Schenke S, Van Hout N, Sakka SG. Influence of systolic-pressure-variation-guided intraoperative fluid management on organ function and oxygen transport. Br J Anaesth. 2008; 101(2):194-9. doi:10.1093/bja/aen126.
58. Forget P, Lois F, de Kock M. Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management. Anesth Analg. 2010;111(4):1. doi:10.1213/ANE. 0b013e3181eb624f.
59. Challand C, Struthers R, Sneyd JR, et al. Randomized controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery. Br J Anaesth. 2012;108(1):53-62. doi:10. 1093/bja/aer273.
60. Phan TD, D'Souza B, Rattray MJ, Johnston MJ, Cowie BS. A randomised controlled trial of fluid restriction compared to oesophageal Dopplerguided goal-directed fluid therapy in elective major colorectal surgery within an Enhanced Recovery After Surgery program. Anaesth Intensive Care. 2014;42(6):752-60. doi:10.1016/S0040-4020(01)98697-1.
61. Srinivasa S, Taylor MHG, Singh PP, Yu TC, Soop M, Hill AG. Randomized clinical trial of goal-directed fluid therapy within an enhanced recovery protocol for elective colectomy. Br J Surg. 2013; 100(1):66-74. doi:10.1002/bjs.8940.
62. Brandstrup B, Svendsen PE, Rasmussen M, et al. Which goal for fluid therapy during colorectal surgery is followed by the best outcome: near-maximal stroke volume or zero fluid balance? Br J Anaesth. 2012;109(June):191-9. doi:10.1093/bja/aes163.
63. Cecconi M, Corredor C, Arulkumaran N, et al. Clinical review: goal-directed therapy-what is the evidence in surgical patients? The effect on different risk groups. Crit Care. 2013;17:209. doi:10.1186/cc11823.
64. Zhang J, Qiao H, He Z, Wang Y, Che X, Liang W. Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive. Clinics. 2012;67(10):1149-55. doi:10.6061/clinics/2012(10)06.
65. Keane PW, Murray PF. Intravenous fluids in minor surgery. Their effect on recovery from anaesthesia. Anaesthesia. 1986;41(6):635-7. http://www.ncbi. nlm.nih.gov/pubmed/3728935.
66. Spencer EM. Intravenous fluids in minor gynaecological surgery. Their effect on postoperative morbidity. Anaesthesia. 1988;43(12):1050-1. http://www. ncbi.nlm.nih.gov/pubmed/3232784.
67. COOK R, ANDERSON S, RISEBOROUGH M, BLOGG CE. Intravenous fluid load and recovery. A double-blind comparison in gynaecological patients who had day-case laparoscopy. Anaesthesia. 1990;45(10):826-30. doi:10.1111/j. 1365-2044.1990.tb14563.x.
68. Magner JJ, McCaul C, Carton E, Gardiner J, Buggy D. Effect of intraoperative intravenous crystalloid infusion on postoperative nausea and vomiting after gynaecological laparoscopy: comparison of 30 and 10 ml kg (-1). Br J Anaesth. 2004;93(3):381-5. doi:10.1093/bja/aeh219.
69. Holte K, Klarskov B, Christensen DS, et al. Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg. 2004;240(5):892-9. doi:10.1097/ 01.sla.0000143269.96649.3b.
70. Yogendran S, Asokumar B, Cheng DC, Chung F. A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery. Anesth Analg. 1995;80(4):682-6. http:// www.ncbi.nlm.nih.gov/pubmed/7893018.
71. McCaul C, Moran C, O'Cronin D, et al. Intravenous fluid loading with or without supplementary dextrose does not prevent nausea, vomiting and pain after laparoscopy. Can J Anaesth. 2003;50(5):440-4. doi:10. 1007/BF03021053.