The added value of cardiac index and pulse pressure variation monitoring to mean arterial pressure-guided volume therapy in moderate-risk abdominal surgery (COGUIDE): a pragmatic multicentre randomised controlled trial

Anaesthesia

Volumn 72, Issue 9, 2017, Pages 1078-1087

  Stens, J ^a   Hering, J P ^b   van der Hoeven, C W P ^c   Boom, A ^c   Traast, H S ^d   Garmers, L E ^d   Loer, S A ^a   Boer, C ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b Westfriesgasthuis ^*  (Netherlands)

^c Infection and Immunology   (Netherlands)

^d Location Alkmaar   (Netherlands)

Author keywords

arterial waveform; ASA physical status; monitored anaesthesia care; patient care; quality measures

Indexed keywords

DOBUTAMINE; FRESH FROZEN PLASMA; NORADRENALIN;

ABDOMINAL SURGERY; ACUTE KIDNEY FAILURE; ADULT; ANASTOMOSIS LEAKAGE; ARTICLE; ARTIFICIAL VENTILATION; COLLOID; CONTROLLED STUDY; CRYSTALLOID; DEHYDRATION; ERYTHROCYTE TRANSFUSION; FEMALE; FLUID RESUSCITATION; HEART HEMODYNAMICS; HEART INDEX; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; HYPERVOLEMIA; HYPOVOLEMIA; ILEUS; INCIDENCE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; MIDDLE AGED; MULTICENTER STUDY; PERIPHERAL EDEMA; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE DELIRIUM; POSTOPERATIVE HEMORRHAGE; PULSE PRESSURE; RANDOMIZED CONTROLLED TRIAL; REOPERATION; RESPIRATORY FAILURE; STOMACH FUNCTION DISORDER; SURGICAL INTENSIVE CARE UNIT; SURGICAL MORTALITY; SURGICAL RISK; URINARY TRACT INFECTION; WOUND DEHISCENCE; WOUND INFECTION; ABDOMEN; AGED; ALGORITHM; ARTERIAL PRESSURE; BIOASSAY; BLOOD PRESSURE; CLINICAL TRIAL; HEART OUTPUT; INTRAOPERATIVE MONITORING; MOTIVATION; PHYSIOLOGY; PROCEDURES; RISK ASSESSMENT; SURGERY;

ABDOMEN; AGED; ALGORITHMS; ARTERIAL PRESSURE; BLOOD PRESSURE; CARDIAC OUTPUT; ENDPOINT DETERMINATION; FEMALE; GOALS; HUMANS; INCIDENCE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEGATIVE RESULTS; POSTOPERATIVE COMPLICATIONS; RISK ASSESSMENT; SURGICAL PROCEDURES, OPERATIVE;

EID: 85027353136     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.13834     Document Type: Article

References (34)

1. Gan TJ, Soppitt A, Maroof M, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology 2002; 97: 820–6.
2. 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 randomised controlled trial. Critical Care 2007; 11: R100.
3. 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: 1817–24.
4. 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.
5. Scheeren TW, Wiesenack C, Gerlach H, Marx G. Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomised multicentre study. Journal of Clinical Monitoring and Computing 2013; 27: 225–33.
6. Salzwedel C, Puig J, Carstens A, et al. Perioperative goal-directed haemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-centre, prospective, randomised study. Critical Care 2013; 17: R191.
7. Pearse RM, Harrison DA, MacDonald N, et al. OPTIMISE Study Group. Effect of a perioperative, cardiac output-guided haemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomised clinical trial and systematic review. Journal of the American Medical Association 2014; 311: 2181–90.
8. 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 randomised, controlled trial. Critical Care 2010; 14: R18.
9. Colantonio L, Claroni C, Fabrizi L, et al. A randomised trial of goal directed vs. standard fluid therapy in cytoreductive surgery with hyperthermic intraperitoneal chaemotherapy. Journal of Gastrointestinal Surgery 2015; 19: 722–9.
10. Cannesson M, Ramsingh D, Rinehart J, et al. Perioperative goal-directed therapy and postoperative outcomes in patients undergoing high-risk abdominal surgery: a historical-prospective, comparative effectiveness study. Critical Care 2015; 19: 261.
11. Rollins KE, Lobo DN. Intraoperative goal-directed fluid therapy in elective major abdominal surgery: a meta-analysis of randomised controlled trials. Annals of Surgery 2016; 263: 465–76.
12. 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. Critical Care 2013; 17: 209.
13. Joosten A, Huynh T, Suehiro K, Canales C, Cannesson M, Rinehart J. Goal-Directed fluid therapy with closed-loop assistance during moderate risk surgery using noninvasive cardiac output monitoring: a pilot study. British Journal of Anaesthesia 2015; 114: 886–92.
14. Benes J, Haidingerova L, Pouska J, et al. Fluid management guided by a continuous non-invasive arterial pressure device is associated with decreased postoperative morbidity after total knee and hip replacement. BioMed Central Anesthesiology 2015; 15: 148.
15. Pestaña D, Espinosa E, Eden A, et al. Perioperative goal-directed haemodynamic optimization using noninvasive cardiac output monitoring in major abdominal surgery: a prospective, randomised, multicentre, pragmatic trial: POEMAS Study (PeriOperative goal-directed thErapy in Major Abdominal Surgery). Anesthesia and Analgesia 2014; 119: 579–87.
16. Thompson JS, Baxter BT, Allison JG, Johnson FE, Lee KK, Park WY. Temporal patterns of postoperative complications. Archives of Surgery 2003; 138: 596–602.
17. Takahashi H, Tagawa K, Suzuki T. Effect of individualised goal directed therapy on outcome after major surgery. Masui 2012; 61: 1071–6.
18. Ramsingh DS, Sanghvi C, Gamboa J, Cannesson M, Applegate RL 2nd. Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomised controlled trial. Journal of Clinical Monitoring and Computing 2013; 27: 249–57.
19. Harten J, Crozier JE, McCreath B, et al. Effect of intraoperative fluid optimisation on renal function in patients undergoing emergency abdominal surgery: a randomised controlled pilot study. International Journal of Surgery 2008; 6: 197–204.
20. Challand C, Struthers R, Sneyd JR, et al. Randomised controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery. British Journal of Anaesthesia 2012; 108: 53–62.
21. 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. Critical Care 2010; 14: R151.
22. Lilot M, Ehrenfeld JM, Lee C, Harrington B, Cannesson M, Rinehart J. Variability in practice and factors predictive of total crystalloid administration during abdominal surgery: retrospective two-centre analysis. British Journal of Anaesthesia 2015; 114: 767–76.
23. Ghneim MH, Regner JL, Jupiter DC, et al. Goal directed fluid resuscitation decreases time for lactate clearance and facilitates early fascial closure in damage control surgery. American Journal of Surgery 2013; 206: 995–9.
24. Noblett SE, Snowden CP, Shenton BK, Horgan AF. Randomised clinical trial assessing the effect of Doppler-optimised fluid management on outcome after elective colorectal resection. British Journal of Surgery 2006; 93: 1069–76.
25. Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. British Journal of Anaesthesia 2005; 95: 634–42.
26. Ameloot K, Palmers PJ, Malbrain ML. The accuracy of noninvasive cardiac output and pressure measurements with finger cuff: a concise review. Current Opinion in Critical Care 2015; 21: 232–9.
27. Bliacheriene F, Machado SB, Fonseca EB, Otsuke D, Auler JO Jr, Michard F. Pulse pressure variation as a tool to detect hypovolaemia during pneumoperitoneum. Acta Anaesthesiologica Scandinavica 2007; 51: 1268–72.
28. Liu F, Zhu S, Ji Q, Li W, Liu J. The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy. Bioscience Trends 2015; 9: 129–33.
29. Renner J, Gruenewald M, Quaden R, et al. Influence of increased intra-abdominal pressure on fluid responsiveness predicted by pulse pressure variation and stroke volume variation in a porcine model. Critical Care Medicine 2009; 37: 650–8.
30. Høiseth LØ, Hoff IE, Myre K, Landsverk SA, Kirkebøen KA. Dynamic variables of fluid responsiveness during pneumoperitoneum and laparoscopic surgery. Acta Anaesthesiologica Scandinavica 2012; 56: 777–86.
31. Chin JH, Lee EH, Hwang GS, Choi WJ. Prediction of fluid responsiveness using dynamic preload indices in patients undergoing robot-assisted surgery with pneumoperitoneum in the Trendelenburg position. Anaesthesia and Intensive Care Journal 2013; 41: 515–22.
32. Stens J, de Wolf SP, van der Zwan RJ, et al. Microcirculatory perfusion during different perioperative haemodynamic strategies. Microcirculation 2015; 22: 267–75.
33. Voldby AW, Brandstrup B. Fluid therapy in the perioperative setting-a clinical review. Journal of Intensive Care 2016; 4: 27.
34. Gupta R, Gan TJ. Peri-operative fluid management to enhance recovery. Anaesthesia 2016; 1: 40–5.