Volume Management and Resuscitation in Colorectal Surgery

Yates, David R.; Davies, Simon; Warnakulasuriya, Samantha; Wilson, Rebekah

doi:10.1007/s40140-014-0078-1

Cited by 5 publications

(3 citation statements)

References 90 publications

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“…These conditions can also endanger anastomosis. [22][23][24] Also, increased IAP with pneumoperitoneum leads to reduced blood flow of the liver and kidneys, which prevents lactate from being excreted from the body. [7] Thus, hyperlactatemia can be seen in laparoscopic colorectal cancer surgery.…”

Section: Discussionmentioning

confidence: 99%

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Can Intraoperative Hyperlactatemia Influence Early Postoperative Infections in Patients Undergoing Laparoscopic Colorectal Cancer Surgery?

Gülmez¹

2020

Laparosc Endosc Surg Sci

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Introduction:The impact of major surgery on tissue hypoxia can be evaluated indirectly with lactate at the end of the operation. This study aimed to investigate the impact of hyperlactatemia on early postoperative infectious complications at the end of surgery. Materials and Methods:We retrospectively examined 75 patients who underwent laparoscopic resection for colorectal cancer (CRC). Lactate levels above 2 mm/L was defined as hyperlactatemia at the end of the surgery. Postoperative infectious complications occurred within the first 30 days were included in the study. The patients were divided into two groups as those with and without postoperative infection (POI).Results: Nineteen patients (25.3%) had early POI complications. Patients in the POI group had a significant association with the Charlson Comorbidity Index (CCI) ≥3 (p=0.021) and type 2 diabetes mellitus (DM) (p=0.003). Hyperlactatemia was found to significsantly affect POI (p=0.013). Lactate levels increased in 16 (84.2%) of 19 POI patients. While the median value for the hospital stay was 7 days for those without POI, it was 11 days for those with POI (p=0.002). There was a significant relationship between general surgery site infection l (SSI) and diabetes mellitus (p=0.006), and length of hospital stay (p=0.001). Conclusion:In this study, CCI ≥3, type 2 DM, and hyperlactatemia at the end of the operation were independent risk factors for POI in laparoscopic colorectal cancer surgery patients. SSI and POI may predict the prolonged hospital stay. To validate these findings, studies with a higher patient volume in a prospective design are required.

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Section: Discussionmentioning

confidence: 99%

“…Yates et al [22] reported that elevated lactate values at postoperative 3rd hour independently predicted major complications and prolonged length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Can Intraoperative Hyperlactatemia Influence Early Postoperative Infections in Patients Undergoing Laparoscopic Colorectal Cancer Surgery?

Gülmez¹

2020

Laparosc Endosc Surg Sci

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“…They suggested that all the three fluid protocols were similar in their overall clinical outcomes. In a review article Yates et al [18] described the controversies over perioperative fluid management in colorectal surgery. They reported a randomized study conducted on 202 patients who received goal-directed balanced crystalloid versus goal-directed balanced starch solution.…”

Section: Timementioning

confidence: 99%

Hypertonic saline for goal-directed therapy guided by Capstesia in gastrointestinal surgery: a randomized controlled study

Mohammed¹,

Halafaway²,

Saad³

et al. 2021

ait

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Intraoperative fluid management aims to maintain central euvolemia while avoiding salt and water excess. Excessive intravenous fluid administration leads to gut edema, bacterial translocation, prolonged ileus, and impaired gastrointestinal (GI) function and tolerance for enteral nutrition [1]. Several factors, such as preoperative fasting, hypertonic bowel preparations, anesthesia, and positive pressure ventilation, predispose surgical patients to a functional intravascular volume deficit [2]. How ever, optimal fluid management is difficult to achieve using standard parameters (e.g., heart rate, blood pressure, central venous pressure, or urine output) [3]. So, intraoperative fluid management should be guided by goal-directed therapy (GDT) rather than predetermined calculations [1].Pulse pressure variation (PPV) has an advantage over most of the dynamic measures of fluid responsiveness in not being affected by airway and pleural pressures [4]. Lactated Ringer's (LR) is a commonly

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Terapia hemodinámica guiada por objetivos basada en parámetros de flujo con Doppler esofágico: revisión sistemática, metaanálisis y análisis secuencial de ensayos

Ripollés‐Melchor

Francés

Espinosa

et al. 2016

Revista Española de Anestesiología y Reanimación

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Volume Management and Resuscitation in Colorectal Surgery

Cited by 5 publications

References 90 publications

Can Intraoperative Hyperlactatemia Influence Early Postoperative Infections in Patients Undergoing Laparoscopic Colorectal Cancer Surgery?

Can Intraoperative Hyperlactatemia Influence Early Postoperative Infections in Patients Undergoing Laparoscopic Colorectal Cancer Surgery?

Hypertonic saline for goal-directed therapy guided by Capstesia in gastrointestinal surgery: a randomized controlled study

Terapia hemodinámica guiada por objetivos basada en parámetros de flujo con Doppler esofágico: revisión sistemática, metaanálisis y análisis secuencial de ensayos

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