Fluid therapy for the surgical patient

Brandstrup, Birgitte

doi:10.1016/j.bpa.2005.10.007

Cited by 200 publications

(146 citation statements)

References 85 publications

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“…In the gut wall it impairs motility, prolonging gastric emptying times and predisposing the patients to postoperative ileus [41]. Peripheral edema may impair mobility, the hydrostatic pressure exerted on tissue microvasculature harm tissue perfusion and oxygenation slowing down wound healing and predisposing to wound infection, dehiscence, or anastomotic breakdown [42].…”

Section: Clinical Considerationsmentioning

confidence: 99%

The Acute Stress Reaction to Major Thoracic Surgery

Cagini¹,

Vannucci²,

Scialpi³

et al. 2012

Current Concepts in General Thoracic Surgery

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Section: Clinical Considerationsmentioning

confidence: 99%

The Acute Stress Reaction to Major Thoracic Surgery

Cagini¹,

Vannucci²,

Scialpi³

et al. 2012

Current Concepts in General Thoracic Surgery

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“…The traditional teaching of aggressive fluid replacement intraoperatively to support evaporative loss from the abdominal cavity during surgery, fluid loss into the third space and fluid accumulated in traumatized tissues were not evidence based and overestimated. The current recommendation is to replace only the estimated fluid loss or use as maintenance therapy and fluid overload should be avoided [29]. The elderly surgical patients are particularly susceptible to develop fluid overload and cardiopulmonary congestion with intravenous fluid therapy during the perioperative period because of their poor cardiac reserve.…”

Section: Perioperative Fluid Managementmentioning

confidence: 99%

Nutrition and the Elderly Surgical Patients

Lim¹

2017

MOJS

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Malnutrition is common among the elderly surgical patients. The surgical injuries to tissues cause a cascade of endocrine and metabolic changes which can impede full recovery after surgery. Active screening for malnutrition, proactive preoperative intervention and nutritional support postoperatively have all been shown to reduce breakdown of muscle mass, reduce catabolism and insulin resistance due to surgical injuries and reduce postoperative complications. Keywords:

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“…Operative hysteroscopy has been the treatment of choice in symptomatic patients with a submucous myoma with diameter of 6 cm or less 7 whereas the excessive intravasation of the fluid used to distend and irrigate the uterine cavity has been the main complication during hysteroscopic myomectomy 8,9 . Complications such as cardiovascular collapse and non cardiogenic pulmonary edema may occur if large volumes of any distension media are rapidly absorbed [10][11][12][13][14] . Still, fluid overload becomes quite dangerous when a solution lacks electrolytes (i.e.…”

Section: Introductionmentioning

confidence: 99%

Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

Fonseca¹,

Andrade²,

Nogueira³

et al. 2015

Rev. Bras. Ginecol. Obstet.

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PURPOSE: To verify the predictors of intravasation rate during hysteroscopy. METHODS: Prospective observational study (Canadian Task Force classification II-1). All cases (n=200 women; 22 to 86 years old) were treated in an operating room setting. Considering respective bag overfill to calculate water balance, we tested two multiple linear regression models: one for total intravasation (mL) and the other for absorption rate (mL.min -1). The predictors tested (independent variables) were energy (mono/bipolar), tube patency (with/without tubal ligation), hysterometry (cm), age≤50 years, body surface area (m 2 ), surgical complexity (with/without myomectomy) and duration (min). RESULTS: Mean intravasation was significantly higher when myomectomy was performed (442±616 versus 223±332 mL; p<0.01). In the proposed multiple linear regression models for total intravasation (adjusted R 2 =0.44; p<0.01), the only significant predictors were myomectomy and duration (p<0.01).In the proposed model for intravasation rate (R 2 =0.39; p<0.01), only myomectomy and hysterometry were significant predictors (p=0.02 and p<0.01, respectively). CONCLUSIONS: Not only myomectomy but also hysterometry were significant predictors of intravasation rate during operative hysteroscopy. ResumoOBJETIVO: Testar preditores do ritmo de intravasamento durante histeroscopia cirúrgica. MÉTODOS: Estudo prospectivo observacional (classificação: Canadian Task Force II-1) incluindo casos conduzidos em centro cirúrgico (n=200 mulheres; 22 a 86 anos de idade). Considerando os erros de aferição nas embalagens de solução de irrigação para calcular o balanço hídrico, nós testamos dois modelos de regressão linear múltipla: um para intravasamento total (mL) e outro para ritmo de intravasamento (mL.min -1 ). Os preditores testados (variáveis independentes) foram energia (mono/ bipolar), permeabilidade tubária (com/sem ligadura tubária), histerometria (cm), status ovariano (idade≤50 anos), área de superfície corporal (m 2 ), complexidade de cirurgia (com/sem miomectomia) e tempo de ressecção (min). RESULTADOS: O intravasamento médio foi significativamente maior quando miomectomia foi realizada (442±616 versus 223±332 mL, p<0,01). No modelo proposto para intravasamento total (R 2 ajustado=0,44; p<0,01), os únicos preditores significativos foram miomectomia e tempo de duração (p<0,01). No modelo proposto para a taxa de intravasamento (R 2 =0,39; p<0,01), somente miomectomia e histerometria foram preditores significativos (p=0,02 e p<0,01, respectivamente). CONCLUSÕES: Não só a miomectomia mas também a histerometria são preditores significativo da taxa de intravasamento durante histeroscopia cirúrgica.

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Fluid therapy for the surgical patient

Cited by 200 publications

References 85 publications

The Acute Stress Reaction to Major Thoracic Surgery

The Acute Stress Reaction to Major Thoracic Surgery

Nutrition and the Elderly Surgical Patients

Predictors of fluid intravasation during operative hysteroscopy: a preplanned prospective observational study with 200 cases

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