Personalized Versus Protocolized Fluid Management Using Noninvasive Hemodynamic Monitoring (Clearsight System) in Patients Undergoing Moderate-Risk Abdominal Surgery
| Autor: | Sean Coeckelenbergh, Shalini Raj Lawrence, Maxime Cannesson, Alexandra Colesnicenco, Alexandre Joosten, Joseph Rinehart, Philippe Van der Linden, Jean Louis Vincent |
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| Rok vydání: | 2018 |
| Předmět: |
Cardiac output
Hemodynamics Fluid management law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Belgium Clinical Protocols 030202 anesthesiology law Heart Rate Risk Factors Monitoring Intraoperative Patient-Centered Care Abdomen Medicine Humans In patient Arterial Pressure Cardiac Output business.industry Hemodynamic Monitoring Monitoring system Surgical procedures Anesthesiology and Pain Medicine Treatment Outcome Anesthesia Fluid Therapy Laparoscopy business 030217 neurology & neurosurgery Abdominal surgery |
| Zdroj: | Anesthesia and analgesia. 129(1) |
| ISSN: | 1526-7598 |
| Popis: | Advances in noninvasive hemodynamic monitoring systems allow delivery of goal-directed fluid therapy and could therefore be used in less-invasive surgical procedures. In this randomized controlled trial, we compared closed-loop-assisted goal-directed fluid therapy using a noninvasive cardiac output (Clearsight system) monitor (personalized approach) to a protocolized fluid therapy approach in 40 patients undergoing moderate-risk laparoscopic abdominal surgery. Cardiac output and stroke volume variations were not significantly different in both groups and remained within predefined target values90% of the study time. Personalized fluid therapy does not seem to offer any hemodynamic advantage over a protocolized approach in this population. |
| Databáze: | OpenAIRE |
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