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

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

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
figure1

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

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Correspondence to S Maeso.

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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, P205 (2013). https://doi.org/10.1186/cc12143

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Keywords

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