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"Intraoperative fluid management"

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https://www.readbyqxmd.com/read/27759740/goal-directed-fluid-management-in-free-flap-surgery-for-cancer-of-the-head-and-neck
#1
Sanna L Lahtinen, Janne H Liisanantti, Meri M Poukkanen, Päivi A Laurila
BACKGROUND: Goal-directed fluid management using stroke volume variation (SVV) analysis is not well studied in free flap reconstruction surgery in patients with head and neck cancer. METHODS: Patients operated due to cancer of the head and neck with free flap reconstruction during 2008-2010 and 2012-2014 in Oulu University Hospital were retrospectively evaluated to determine the impact of SVV-guided fluid management on perioperative fluid balance, postoperative complications and hospital length of stay (LOS)...
October 19, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27532782/intraoperative-fluid-management-guided-by-esophageal-doppler-monitoring-in-major-abdominal-surgery-utilizing-the-enhanced-recovery-after-surgery-program-a-systematic-review-protocol
#2
Lindsay Wuellner, Lisa Sutton
The objectives of this review are to identify the effectiveness of esophageal Doppler monitoring (EDM) for goal-directed fluid therapy on postoperative outcomes during abdominal surgery when an enhanced recovery after surgery (ERAS) program is implemented.The specific question of this review is: does the guidance of fluid management by EDM versus fluid management without EDM affect the length of hospital stay, occurrence of postoperative infection, hemodynamic stability and 30-day postoperative complication rate in adult patients undergoing major abdominal surgery with ERAS or similar programs?...
July 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27512163/anaesthesia-and-intensive-care-for-simultaneous-liver-kidney-transplantation-a-single-centre-experience-with-12-recipients
#3
Akila Rajakumar, Shiwalika Gupta, Selvakumar Malleeswaran, Joy Varghese, Ilankumaran Kaliamoorthy, Mohamed Rela
BACKGROUND AND AIMS: The perioperative management of patients presenting for simultaneous liver and kidney transplantation (SLKT) is a complex process. We analysed SLKTs performed in our institution to identify preoperative, intraoperative and post-operative challenges encountered in the management. METHODS: We retrospectively studied the case records of 12 patients who underwent SLKT between 2009 and 2014 and analysed details of pre-operative evaluation and optimisation, intraoperative anaesthetic management and the implications of use of perioperative continuous renal replacement therapy (CRRT) and the post-operative course of these patients...
July 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27476150/surgical-intervention-and-perioperative-risk-factors-of-retroperitoneal-teratomas-in-children-a-single-institution-experience
#4
Shigehisa Fumino, Junnosuke Maniwa, Yuki Takeuchi, Kohei Sakai, Mayumi Higashi, Shigeyoshi Aoi, Taizo Furukawa, Osamu Kimura, Tatsuro Tajiri
PURPOSE: Retroperitoneal teratomas (RTs) are rare among germ cell tumors and predominantly occur in infants. RTs are often difficult to manage by perioperative management. In this study, we retrospectively reviewed our series of RTs. METHODS: Seventy patients with germ cell tumors were treated from 1989 to 2015 in our institution. Fourteen patients had RTs (3 boys and 11 girls). The median age at diagnosis was 5.5 months (range 0-64), and three were antenatally diagnosed...
September 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/26742402/-perioperative-effect-of-intraoperative-fluid-restriction-with-the-same-fixed-volume-of-5-ml-%C3%A2-kg-1-%C3%A2-h-1-in-patients-undergoing-major-abdominal-versus-thoracic-surgery
#5
COMPARATIVE STUDY
Takeshi Kaida, Masaki Wakamatsu, Asami Machino, Hiroko Hirano, Yasuichiro Mori, Saeko Yamazaki, Shin Haku, Ai Takahashi
BACKGROUND: Major abdominal surgery accompanies the higher magnitude of physiological stress response and may require an additional replacement fluid for the redistributed volume. Intraoperative volume restriction strategy is recommended to avoid fluid overload leading to increased mortality. We conducted a comparative study of the perioperative effects of intraoperative fluid restriction in abdominal versus thoracic surgery. METHODS: Each 15 patients having major abdominal or thoracic surgery were studied prospectively...
October 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26419096/-the-effect-of-preoperative-oral-rehydration-on-hemodynamic-changes-during-induction-of-anesthesia-and-intraoperative-fluid-management
#6
RANDOMIZED CONTROLLED TRIAL
Mari Tsutsui, Sayaka Ishigaki, Ayana Kanaya, Saori Kawaguchi, Takahiro Ogura
BACKGROUND: Preoperative oral rehydration solution (ORS) prevents dehydration before surgery. Therefore taking enough ORS possibly reduces the hemodynamic changes during induction of anesthesia, and reduces the amount of fluid needed during anesthesia. METHODS: Forty patients undergoing elective surgery were randomly assigned to two groups: drinking 1,500 ml ORS 6 to 2 hours before anesthesia (ORS group) and nothing by mouth from 6 hours before anesthesia (Control group)...
April 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26236733/the-utility-of-3d-left-atrial-volume-and-mitral-flow-velocities-as-guides-for-acute-volume-resuscitation
#7
Claudia M Santosa, David D Rose, Neal W Fleming
Left ventricular end-diastolic pressure (LVEDP) is the foundation of cardiac function assessment. Because of difficulties and risks associated with its direct measurement, correlates of LVEDP derived by pulmonary artery (PA) catheterization or transesophageal echocardiography (TEE) are commonly adopted. TEE has the advantage of being less invasive; however TEE-based estimation of LVEDP using correlates such as left ventricular end-diastolic volume (LVEDV) has technical difficulties that limit its clinical usefulness...
2015: BioMed Research International
https://www.readbyqxmd.com/read/25940329/intraoperative-fluid-management-in-children-a-comparison-of-three-fluid-regimens
#8
RANDOMIZED CONTROLLED TRIAL
Magdalena Mierzewska-Schmidt
BACKGROUND: Fluid therapy is essential for safe perioperative management. Numerous reports of serious complications, including brain damage and death of children, as a result of inappropriate fluid management, have been published. The aim of this study was to assess the effects of intraoperative fluids on serum glucose and electrolytes concentrations as well as serum osmolality. METHODS: 91 children, ASA I and II, undergoing elective ENT surgery were enrolled to this prospective, randomized, open-label study...
2015: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/25725537/intraoperative-fluid-management
#9
REVIEW
Judy Thompson
Evidence-based medicine has been slow to address the critically important issue of intraoperative fluid maintenance for surgical patients. A "rule" published by Holliday and colleagues in 1957 was the accepted practice for the initial calculation of fluid maintenance for nearly 50 years. Using this formula, the nil per os fluid deficit was based on how long it had been since the preoperative patient had last consumed anything by mouth, even water. New technology and monitoring modalities are being used to guide evidence-supported intraoperative care, leading to better outcomes for surgical patients...
March 2015: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/25691437/new-perioperative-fluid-and-pharmacologic-management-protocol-results-in-reduced-blood-loss-faster-return-of-bowel-function-and-overall-recovery
#10
REVIEW
Patrick Y Wuethrich, Fiona C Burkhard
Cystectomy and urinary diversion have high morbidity, and strategies to reduce complications are of utmost importance. Epidural analgesia and optimized fluid management are considered key factors contributing to successful enhanced recovery after surgery. In colorectal surgery, there is strong evidence that an intraoperative fluid management aiming for a postoperative zero fluid balance results in lower morbidity including a faster return of bowel function. Recently, a randomized clinical trial focusing on radical cystectomy demonstrated that a restrictive intraoperative hydration combined with a concomitant administration of norepinephrine reduced intraoperative blood loss, the need for blood transfusion and morbidity...
April 2015: Current Urology Reports
https://www.readbyqxmd.com/read/25515983/role-of-intraoperative-fluids-on-hospital-length-of-stay-in-laparoscopic-bariatric-surgery-a-retrospective-study-in-224-consecutive-patients
#11
Vaughn E Nossaman, William S Richardson, James B Wooldridge, Bobby D Nossaman
BACKGROUND: Studies are unclear regarding optimal intraoperative fluid management during laparoscopic bariatric surgery. The purpose of this 1-year study was to investigate the role of intraoperative fluid administration on hospital length of stay (hLOS) and postoperative complications in laparoscopic bariatric surgery. METHODS: Patient data analyzed included previously reported demographics, comorbidities, and intraoperative fluid administration on the duration of hLOS and incidence of postoperative complications...
October 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/25500940/lidco-based-fluid-management-in-patients-undergoing-hip-fracture-surgery-under-spinal-anaesthesia-a-randomized-trial-and-systematic-review
#12
RANDOMIZED CONTROLLED TRIAL
I K Moppett, M Rowlands, A Mannings, C G Moran, M D Wiles
BACKGROUND: Hip fracture is a condition with high mortality and morbidity in elderly frail patients. Intraoperative fluid optimization may be associated with benefit in this population. We investigated whether intraoperative fluid management using pulse-contour analysis cardiac monitoring, compared with standard care in patients undergoing spinal anaesthesia, would provide benefits in terms of reduced time until medically fit for discharge and postoperative complications. METHODS: Patients undergoing surgical repair of fractured neck of femur, aged >60 yr, receiving spinal anaesthesia were enrolled in this single-centre, blinded, randomized, parallel group trial...
March 2015: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/25391735/fluid-management-and-goal-directed-therapy-as-an-adjunct-to-enhanced-recovery-after-surgery-eras
#13
REVIEW
Timothy E Miller, Anthony M Roche, Michael Mythen
Optimal perioperative fluid management is an important component of Enhanced Recovery After Surgery (ERAS) pathways. Fluid management within ERAS should be viewed as a continuum through the preoperative, intraoperative, and postoperative phases. Each phase is important for improving patient outcomes, and suboptimal care in one phase can undermine best practice within the rest of the ERAS pathway. The goal of preoperative fluid management is for the patient to arrive in the operating room in a hydrated and euvolemic state...
February 2015: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/25378913/the-influence-of-goal-directed-fluid-therapy-on-the-prognosis-of-elderly-patients-with-hypertension-and-gastric-cancer-surgery
#14
RANDOMIZED CONTROLLED TRIAL
Kai Zeng, Yanzhen Li, Min Liang, Youguang Gao, Hongda Cai, Caizhu Lin
PURPOSE: We aimed to investigate the influence of perioperative goal-directed fluid therapy (GDFT) on the prognosis of elderly patients with gastric cancer and hypertension. METHODS: Sixty elderly patients (>60 years old) with primary hypertension who received gastric cancer radical surgery and who were American Society of Anesthesiologists (ASA) class II or III were enrolled in the current study. Selected patients were divided randomly into two arms, comprising a conventional intraoperative fluid management arm (arm C, n=30) and a GDFT arm (arm G, n=30)...
2014: Drug Design, Development and Therapy
https://www.readbyqxmd.com/read/25137318/-determinants-of-prolonged-mechanical-ventilation-after-cardiac-surgery
#15
Keisuke Oura, Tomoyuki Morisawa, Kenta Kamisaka, Masakazu Saitoh, Yusuke Hanafusa, Satoshi Yuguchi, Masayuki Tahara, Kouji Sakurada, Tetsuya Takahashi
PURPOSE: This study aimed to examine factors that delay weaning from ventilation after cardiac surgery. METHODS: A retrospective examination was made on 1,033 patients who had undergone cardiac surgery through a midsternal incision between January 2009 and July 2011. The items examined were duration of postoperative ventilation, patient's background, and other surgical information. If patients were weaned within 24 hours from intensive care unit (ICU) admission, they were included in the timely weaning group...
July 2014: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/25109164/reexamining-traditional-intraoperative-fluid-administration-evolving-views-in-the-age-of-goal-directed-therapy
#16
Kaitlin Gallagher, Charles Vacchiano
Intraoperative volume administration has long been a topic of debate in the field of anesthesia. Only recently, however, has the conversation shifted to a discussion of appropriate intraoperative volume. A thorough review of the literature explores the history of today's widely accepted fluid administration equation and discusses possible explanations and consequences of iatrogenically induced hypervolemia. Current studies exploring various volume administration techniques are reviewed, as are emerging technologies available to help guide anesthesia providers with intraoperative fluid management...
June 2014: AANA Journal
https://www.readbyqxmd.com/read/25104915/liberal-or-restricted-fluid-administration-are-we-ready-for-a-proposal-of-a-restricted-intraoperative-approach
#17
RANDOMIZED CONTROLLED TRIAL
Giorgio Della Rocca, Luigi Vetrugno, Gabriella Tripi, Cristian Deana, Federico Barbariol, Livia Pompei
BACKGROUND: Fluid management in the perioperative period has been extensively studied but, despite that, "the right amount" still remains uncertain. The purpose of this paper is to summarize the state of the art of intraoperative fluid approach today. DISCUSSION: In the current medical literature there are only heterogeneous viewpoints that gives the idea of how confusing the situation is. The approach to the intraoperative fluid management is complex and it should be based on human physiology and the current evidence...
2014: BMC Anesthesiology
https://www.readbyqxmd.com/read/25102205/superior-functional-outcome-after-radical-cystectomy-and-orthotopic-bladder-substitution-with-restrictive-intraoperative-fluid-management-a-followup-study-of-a-randomized-clinical-trial
#18
RANDOMIZED CONTROLLED TRIAL
Fiona C Burkhard, Urs E Studer, Patrick Y Wuethrich
PURPOSE: Continuous intraoperative norepinephrine infusion combined with restrictive deferred hydration improves surgical field visibility, and significantly decreases intraoperative blood loss and postoperative complications in patients undergoing radical cystectomy and urinary diversion. We determined whether the intraoperative fluid regimen would affect functional results (continence and erectile function) 1 year after orthotopic ileal bladder substitution. MATERIALS AND METHODS: We analyzed a subgroup of 93 patients who received an ileal orthotopic bladder substitute...
January 2015: Journal of Urology
https://www.readbyqxmd.com/read/25100922/impact-of-intraoperative-fluid-administration-on-outcome-in-patients-undergoing-robotic-assisted-laparoscopic-prostatectomy-a-retrospective-analysis
#19
Tobias Piegeler, Pamela Dreessen, Sereina M Graber, Sarah R Haile, Daniel Max Schmid, Beatrice Beck-Schimmer
BACKGROUND: Robotic-assisted laparoscopic prostatectomy (RALP) gained much popularity during the last decade. Although the influence of intraoperative fluid management on patients' outcome has been largely discussed in general, its impact on perioperative complications and length of hospitalization in patients undergoing RALP has not been examined so far. We hypothesized that a more restrictive fluid management might lead to a shortened length of hospitalization and a decreased rate of complications in our patients...
2014: BMC Anesthesiology
https://www.readbyqxmd.com/read/24824018/a-novel-balanced-isotonic-sodium-solution-vs-normal-saline-during-major-surgery-in-children-up-to-36%C3%A2-months-a-multicenter-rct
#20
RANDOMIZED CONTROLLED TRIAL
Nicola Disma, Leila Mameli, Angela Pistorio, Andrew Davidson, Paola Barabino, Bruno Guido Locatelli, Valter Sonzogni, Giovanni Montobbio
BACKGROUND: The use of isotonic electrolytic solutions for the intraoperative fluid management in children is largely recognized, but the exact composition still needs to be defined. OBJECTIVES: The primary objective of this randomized controlled open trial was to compare the changes in chloride plasma concentration using two intraoperative isotonic fluid regimens (Sterofundin vs. normal saline, both added with 1% of glucose) in children undergoing major surgery...
September 2014: Paediatric Anaesthesia
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