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270766

Conventional Fluid Management Versus Goal-Directed Fluid Management In Elective Colorectal Surgery

Article

Last updated: 03 Jan 2025

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Abstract

Background: Optimum perioperative fluid therapy is important to improve the outcome of surgical patients, so the assessment of a patient's volume status accurately is an important goal for the anesthesiologist to achieve hemodynamic stability and adequate tissue oxygenation. Objective: This study compared intraoperative goal-directed fluid therapy (GDFT) versus conventional fluid therapy (CVFT) using noninvasive electrical cardiometry with measuring serum lactate, serum creatinine levels, stroke volume optimization, and postoperative complication. Methods: One hundred patients ASA I -II, both sexes, aged 21-65 years scheduled for elective colorectal surgery were randomized into 2 groups (50 subjects each). GDFT group used Stroke volume optimization, and CVFT used the conventional method of fluid administration. Hemodynamic variables, amount of fluid given, serum lactate, serum creatinine, and postoperative complication were noted. Results: Serum lactate levels were insignificant intra& postoperative except at 6 hrs. postoperative was higher in GDFT 1,79±0.21 than CVFT 1.68±0.23with p value=0.02 but still within normal limits. CVFT received significantly more crystalloids 2750(1500-4000) than GDFT 2250 (1000-3350) with p value=0.002, whereas GDFT received more colloids 350(200-1000) than CVFT 250(0-1000) with p value=0.024. Total fluid received were higher in CVFT 3550(2000-5600) than GDFT 2750(1500-5000) with p-value=0.005. Conclusions: GDFT results in a decreased total volume of crystalloids and fluid given to patients. However, both groups didn't alter organ perfusion inspite of serum lactate being higher in GDFT and with no differences in postoperative complications in both groups.  

DOI

10.21608/ejhm.2022.270766

Keywords

fluid therapy, conventional, Goal-directed, CARDIOMETRY, Colorectal Surgery

Authors

First Name

Abdelrahman Mahmoud

Last Name

Abdelrahman

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Aboelnour Elmorsy

Last Name

Badran

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Amgad Abdelmageed

Last Name

Zagloul

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Rania

Last Name

Elbadrawy

MiddleName

Elmohamady

Affiliation

Rania E Elbadrawy

Email

raniaelmohamady@gmail.com

City

Mansoura

Orcid

0000-0002-3817-639X

Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-21

Publish Date

2022-10-01

Page Start

6,716

Page End

6,725

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_270766.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=270766

Order

97

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Conventional Fluid Management Versus Goal-Directed Fluid Management In Elective Colorectal Surgery

Details

Type

Article

Created At

22 Jan 2023