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Volume 17 Supplement 2

33rd International Symposium on Intensive Care and Emergency Medicine

Efficacy of intraoperatory optimisation of fluids guided with transoesophageal Doppler monitorisation: a multicentre randomised controlled trial

Critical Care volume 17, Article number: P205 (2013) Cite this article

Introduction

The objective is to compare stay in surgery monitored with oesophageal Doppler with unmonitored.

Methods

A randomized trial. We present preliminary results obtained in the first 55 cases. The surgeries were general and urological. ISRCTN93543537.

Results

There were no differences in any of the baseline variables. A total of 69.1% were men. The mean age was 65.80 years. There were 63.6% general surgery and 36.4% urologic surgery. There were 81.5% open surgeries and 18.5% laparoscopic. The results were favorable to the intervention group for most outcomes; these differences did not reach statistical significance (Table 1). We emphasize the difference in postoperative stay of 3.4 days. Only complications results were against the intervention.

Table 1 Analysis of the outcome variables
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Conclusion

The preliminary results obtained for the postsurgical length of stay, as for most of the outcomes, were favorable to monitoring by oesophageal Doppler.

Figure 1
figure 1

Cardiac function curve: a fluid challenge of 50 ml in a (non)responder.

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Author information

Authors and Affiliations

  1. Agencia Lain Entralgo, Madrid, Spain

    S Maeso & J Blasco

  2. Hospital Universitario Ramón y Cajal, Madrid, Spain

    R Villalba & S Asuero

  3. Hospital Infanta Leonor, Madrid, Spain

    J Ripollés & J Calvo

Authors
  1. S Maeso
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  2. R Villalba
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  3. J Ripollés
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  4. S Asuero
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  5. J Blasco
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  6. J Calvo
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Maeso, S., Villalba, R., Ripollés, J. et al. Efficacy of intraoperatory optimisation of fluids guided with transoesophageal Doppler monitorisation: a multicentre randomised controlled trial. Crit Care 17 (Suppl 2), P205 (2013). https://doi.org/10.1186/cc12143

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  • DOI: https://doi.org/10.1186/cc12143

Keywords

  • Public Health
  • Intervention Group
  • Randomise Control Trial
  • Emergency Medicine
  • Baseline Variable

Critical Care

ISSN: 1364-8535