Goal-directed vs traditional approach to intraoperative fluid therapy during open major bowel surgery: Is there a difference?
Anesthesiology Research and Practice Dec 04, 2019
Sujatha PP, et al. - Among general surgical patients undergoing open major bowel surgery, researchers prospectively compared goal-directed intraoperative fluid therapy vs traditional fluid therapy. The study sample comprised patients between 20 and 70 years of age, either gender, ASA I and II, and scheduled for elective open major bowel surgery, excluding cases treated with laparoscopic and other surgeries. Following the routine induction of general anaesthesia, the randomization of the participants to either the control group (traditional fluid therapy), the FloTrac group (depending on stroke volume variation), or the PVI group (depending on pleth variability index) was done. They found a lower volume infusion and lower net fluid balance as the consequences of using goal-directed fluid management, either with FloTrac or pleth variability index. However, the complication rate associated with this management approach was found to be similar to that of traditional fluid therapy.
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