Esophageal Doppler guided fluid management Improves blood lactate clearance in multiple Trauma Patients: a randomised controlled trial

Chytra, Ivan

doi:10.1186/isrctn07606792

Cited by 22 publications

(34 citation statements)

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“…Patients in the Doppler group were administered more fl uids (crystalloid, colloids) in the perioperative period, the postoperative recovery was found to be signifi cantly faster, and the frequency of major serious complications was lower. Our fi ndings are in agreement with the results of other studies comparing the perioperative Dopplerguided intravascular volume replacement strategies with conventional clinical volume replacement in groups of patiens surgically treated for orthopaedic, urologic, gynaecologic, abdominal, and cardiac disorders, as well as those treated for multiple trauma (8)(9)(10)(11)(12)(13)(14)(15)(16)(17). In these ten published studies, the investigators used different experimental protocols and all of these studies conclusively report benefi cial effects in the Doppler-guided groups (18,19).…”

Section: Discussionsupporting

confidence: 81%

Perioperative haemodynamic monitoring by oesophageal Doppler improves outcome of patients with abdominal aortic aneurysm repair

Mannová

Šilhart²,

Ševčík³

et al. 2013

BLL

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Abstract:Background: AAA repair is associated with high rate of mortality and morbidity. Oesophageal Doppler (OED) can offer a less invasive cost-effective tool for intraoperative monitoring of haemodynamic changes. The aim of the study was to confi rm the benefi ts of haemodynamic optimisation in patients undergoing AAA repair using OED monitoring. We assumed that haemodynamic parameters of patients with OED would be better optimised; they would probably get more fl uids during the operation, and their ICU and hospital stay would be shorter as a result of having fewer postoperative complications and lower mortality. Results: No statistically signifi cant difference was found in preoperative parameters. The Doppler group was administered signifi cantly more crystalloids (p<0.001), colloids (p<0.001), sum-up of fl uids (4000 ml vs. 3000 ml; p<0.001) in the perioperative period. The Doppler group had a lower incidence of major serious complications (8 vs. 21; p=0.034) and shorter ICU (4 vs. 6 days; p<0.001) and hospital stay (10 vs. 11 days; p=0.012). Conclusions:The haemodynamic monitoring by oesophageal Doppler can improve the outcome of patients with AAA repair (fewer major complications, shorter ICU and hospital stay) (Tab. 4, Fig. 4, Ref. 25). Full Text in PDF www.elis.sk.

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Section: Discussionsupporting

confidence: 81%

Perioperative haemodynamic monitoring by oesophageal Doppler improves outcome of patients with abdominal aortic aneurysm repair

Mannová

Šilhart²,

Ševčík³

et al. 2013

BLL

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“…The mean weighted average of these trials suggests a reduction of 3.7 days in hospital length of stay (LOS) ( Table 2). 25,[48][49][50][51][52][53] In addition to these randomized controlled trials, the United Kingdom's National Health Service Technology Adoption Centre conducted a case study of esophageal Doppler as part of its enhanced recovery effort. Based on the use of EDM in 649 patients undergoing major surgery at three hospitals (as compared with 658 matched patients who did not received EDM in the 12 months prior), the National Health Service (NHS) documented a 3.6-day reduction in hospital LOS.…”

Section: Clinical Datamentioning

confidence: 99%

Inter-device differences in monitoring for goal-directed fluid therapy

Thiele

Bartels

Gan

2014

Can J Anesth/J Can Anesth

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“…The use of oesophageal Doppler in multiple-trauma patients is associated with a decrease of blood lactate level, a lower incidence of infectious complications, and a reduced duration of intensive care unit (ICU) and hospital stay (25). Oesophageal Doppler guided fluid management in colorectal resection was associated with a 1.5-day median reduction in postoperative hospital stay, faster gut function recovery and significantly less gastrointestinal and overall morbidity (26).…”

Section: Hypovolemia and Outcomementioning

confidence: 99%

Can we Improve Outcome in High Risk Surgery?

Mikor¹,

Molnár²

2013

Turk J Anesth Reanim

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191Despite the small number of high-risk surgical patients in comparison to all surgical patients, they account for the largest proportion of overall perioperative mortality. Goal directed hemodynamic support may result in a lower incidence of complications and reduced length of hospital stay in these patients. Beyond the standard monitoring of circulation, such as blood pressure and heart rate, further parameters and procedures such as pulse pressure/ stroke volume variation-, stroke volume/cardiac index-, and central venous oxygen saturation-guided resuscitation may improve the outcome of highrisk surgical patients. The aim of this review is to focus on the results of animal and clinical studies investigating the usefulness of these indices in the context of goal-directed perioperative support.

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Esophageal Doppler guided fluid management Improves blood lactate clearance in multiple Trauma Patients: a randomised controlled trial

Cited by 22 publications

References 0 publications

Perioperative haemodynamic monitoring by oesophageal Doppler improves outcome of patients with abdominal aortic aneurysm repair

Perioperative haemodynamic monitoring by oesophageal Doppler improves outcome of patients with abdominal aortic aneurysm repair

Inter-device differences in monitoring for goal-directed fluid therapy

Can we Improve Outcome in High Risk Surgery?

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