Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer

Wei, Shen; Tian, Jintao; Song, Xiaoping; Chen, Yan

doi:10.1016/j.athoracsur.2008.03.017

Cited by 71 publications

(49 citation statements)

References 20 publications

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“…However, it remains unclear whether a reduction in anastomotic leakage can be achieved by fluid restriction as surgical and anatomical factors may play a more important etiologic role. This can also be concluded from the data of Wei et al (45). A relationship between fluid balance and anastomotic leakage was not found.…”

Section: Intravenous Fluids and Outcomesupporting

confidence: 72%

“…Fluid management in this patient group has until recently focused on restricting fluid administration to prevent pulmonary and cardiac complications (40). The majority of studies focus on patients after lung surgery and only a few small retrospective studies are available on oesophageal surgery showing a reduction in pulmonary complications with fluid restriction (45,46). However, it remains unclear whether a reduction in anastomotic leakage can be achieved by fluid restriction as surgical and anatomical factors may play a more important etiologic role.…”

Section: Intravenous Fluids and Outcomementioning

confidence: 99%

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Anaesthesia during oesophagectomy

Veelo

Geerts

2017

J. Thorac. Dis.

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Section: Intravenous Fluids and Outcomesupporting

confidence: 72%

Section: Intravenous Fluids and Outcomementioning

confidence: 99%

Anaesthesia during oesophagectomy

Veelo

Geerts

2017

J. Thorac. Dis.

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“…The acute stress response to major surgery can determine a severe inflammatory response syndrome and profound changes in the endocrine, neuroendocrine and immune system responses, as well as significant changes in organ function [16,17], leading to fluid retention [6,17,18]. Taken together, the net effect is an increased catabolism with increased substrate availability for energy production, and sodium and water retention to maintain fluid volume and haemodynamic stability [6,17].…”

Section: Discussionmentioning

confidence: 97%

Fluid and electrolyte balance after major thoracic surgery by bioimpedance and endocrine evaluation

Cagini

Capozzi

Tassi

et al. 2011

European Journal of Cardio-Thoracic Surgery

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The three methods used consistently showed a significant fluid retention over the course of the study. BIA was an easy, reproducible and non-invasive method for the estimation and early detection of fluid retention. Increase in BNP may be related to the systemic reaction to stress and to the decreased pulmonary vascular bed. We found no correlation between fluid retention and length of anaesthesia, sex, age, blood loss and body mass index. The clinical and prognostic implication of weight gain may be relevant to patient's health.

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“…89,90 In addition to the potential importance of the amount and timing of fluid administration, there is some clinical evidence that the choice of fluid type may be important in affecting clinical outcomes. 91 Intravascular colloid retention during the treatment of hypovolaemia may approach 90% vs. 40% when administered during normovolaemia. 92 The relationship of hydrostatic and oncotic pressure to determine fluid flux across a semi-permeable membrane was described in a classic equation that was developed by Starling in 1896.…”

Section: Fluids Inflammation and The Glycocalyxmentioning

confidence: 99%

Are lung-protective ventilation strategies worth the effort?

Slinger

2013

Southern African Journal of Anaesthesia and Analgesia

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Nonphysiological ventilation in healthy lungs induces acute lung injury (ALI). Protective lung ventilation in patients with ALI improves outcome. Protective lung ventilation in noninjured lungs and in the absence of a primary pulmonary insult may initiate ventilation-induced lung injury (VILI), as evidenced by inflammatory markers. VILI has important implications that are remote to the lungs and may be associated with significant morbidity and mortality. Volatile anaesthetics can have a lungprotective effect. Excess fluids may contribute to perioperative lung injury. Anaesthesiologists manage a heterogeneous group of patients in the perioperative period, from patients with healthy lungs and patients with at-risk lungs through to patients with established ALI. More patients are at risk for ALI during surgery than previously thought. Appropriate perioperative management may prevent or ameliorate this lung injury. Although evidence is lacking from randomised controlled trials, applying protective ventilatory strategies seems to be a reasonable approach, based on the current understanding of mechanical ventilation and lung injury.

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Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer

Cited by 71 publications

References 20 publications

Anaesthesia during oesophagectomy

Anaesthesia during oesophagectomy

Fluid and electrolyte balance after major thoracic surgery by bioimpedance and endocrine evaluation

Are lung-protective ventilation strategies worth the effort?

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