Efficacy of early goal-directed therapy using FloTrac/EV1000 to improve postoperative outcomes in patients undergoing off-pump coronary artery bypass surgery: a randomized controlled trial

Autor: Sirirat Tribuddharat, Thepakorn Sathitkarnmanee, Kriangsak Ngamsaengsirisup, Sanpicha Sornpirom
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 17, Iss 1, Pp 1-7 (2022)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-022-01933-4
Popis: Abstract Background Early goal-directed therapy (EGDT) using FloTrac reduced length of stay (LOS) in intensive care (ICU) and hospital among patients undergoing coronary artery bypass graft (CABG) with a cardiopulmonary bypass. However, this platform in off-pump CABG (OPCAB) has received scant attention, so we evaluated the efficacy of EGDT using FloTrac/EV1000 as a modality for improving postoperative outcomes in patients undergoing OPCAB. Methods Forty patients undergoing OPCAB were randomized to the EV1000 or Control group. The Control group received fluid, inotropic, or vasoactive drugs (at the discretion of the attending anesthesiologist) to maintain a mean arterial pressure 65–90 mmHg; central venous pressure 8–12 mmHg; urine output ≥ 0.5 mL kg−1 h−1; SpO2 > 95%; and hematocrit ≥ 30%. The EV1000 group achieved identical targets using information from the FloTrac/EV1000. The goals included stroke volume variation
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje