Perioperative fluid administration in pancreatic surgery: comparison of three regimens
© Martini et al; licensee BioMed Central Ltd. 2009
Published: 13 March 2009
Perioperative fluid administration represents an important issue in perioperative medicine, because an incorrect strategy is associated with increased morbidity and mortality. The aim of this study was to compare three fluid administration regimens in patients who have undergone pancreatic surgery.
A randomized prospective trial. Fifty-nine patients, American Society of Anesthesiologists class 1 to 3, were assigned to one of three perioperative fluid regimens (PFRs). Interventions: general balanced anesthesia; PFR1, liberal (21 patients): colloids and crystalloids (in a 1:3 rate) 12 ml/kg/hour; PFR2, restricted (18 patients): colloids 4 ml/kg/hour; and PFR3, goal targeted (20 patients): colloid infusion targeted to achieve stroke volume variation (SVV) <13%. Hemodynamic monitoring was performed using the Vigileo/FloTrac system (cardiac output (CO) and SVV). Recorded outcome variables were hospital length of stay, starting of enteral nutrition, bowel movement, blood transfusion, and perioperative complications.
Surgery duration (hours)
Enteral nutrition (days from surgery)
Bowel movement (days from surgery)
Hospital length of stay (days)
Our study in still ongoing; however, ad interim analysis suggests that a restricted or goal-targeted perioperative fluid administration seems to provide more stable hemodynamics and a reduction of major abdominal complications.
This article is published under license to BioMed Central Ltd.