Anest. intenziv. Med. 2020;31(1-2):13-17 | DOI: 10.36290/aim.2020.001

Our article after ten years: Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized studyReview Article

Beneš J.1 ,2, Chytra I.1, Pradl R.1, Kasal E.1
1 Klinika anesteziologie a resuscitace Lékařská fakulta v Plzni, Univerzita Karlova a Fakultní nemocnice Plzeň
2 Biomedicínské centrum, Lékařská fakulta v Plzni, Univerzita Karlova

Ten years ago, the results of randomized prospective single-centrce study aimed to optimize hemodynamics in high-risk patients undergoing scheduled intra-abdominal procedures were published in Critical Care journal. This review article provides a critical assessment of the results of this work and further developments in this area, seen from a distance of one decade.

Keywords: intraoperative care, hemodynamic monitoring, fluid therapy.

Received: February 5, 2020; Revised: March 24, 2020; Accepted: March 26, 2020; Published: May 11, 2020  Show citation

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Beneš J, Chytra I, Pradl R, Kasal E. Our article after ten years: Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Anest. intenziv. Med. 2020;31(1-2):13-17. doi: 10.36290/aim.2020.001.
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References

  1. Benes J, Chytra I, Altmann P, Hluchy M, Kasal E, Svitak R, et al. Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care. 2010; 14: R118. doi:10.1186/cc9070. Go to original source... Go to PubMed...
  2. Chytra I, Pradl R, Bosman R, Pelnár P, Kasal E, Zidková A. Esophageal Doppler‑guided fluid management decreases blood lactate levels in multiple‑trauma patients: a randomized controlled trial. Crit Care. 2007; 11: R24. doi:10.1186/cc5703. Go to original source... Go to PubMed...
  3. Shoemaker WC, Appel PL, Kram HB. Role of oxygen debt in the development of organ failure sepsis, and death in high‑risk surgical patients. Chest. 1992; 102: 208-215. doi:10.1378/chest.102. 1. 208. Go to original source... Go to PubMed...
  4. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high‑risk surgical patients. Chest. 1988; 94: 1176-1186. Go to original source... Go to PubMed...
  5. Kern JW, Shoemaker WC. Meta‑analysis of hemodynamic optimization in high‑risk patients. Crit Care Med. 2002; 30(8): 1686-1692. Go to original source... Go to PubMed...
  6. Mythen MG, Webb AR. Perioperative Plasma Volume Expansion Reduces the Incidence of Gut Mucosal Hypoperfusion During Cardiac Surgery. Arch Surg. 1995; 130: 423-429. Go to original source... Go to PubMed...
  7. Sinclair S, James S, Singer M. Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. BMJ. 2011; 315: 909-912. doi:10.1136/bmj.315.7113.909. Go to original source... Go to PubMed...
  8. Pearse R, Dawson D, Fawcett J, Rhodes A, Grounds RM, Bennett ED. Early goal‑directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]. Crit Care. 2005; 9: R687-R693. doi:10.1186/cc3887. Go to original source... Go to PubMed...
  9. Monnet X, Anguel N, Jozwiak M, Richard C, Teboul JL. Third‑generation FloTrac/Vigileo does not reliably track changes in cardiac output induced by norepinephrine in critically ill patients. Br J Anaesth. 2012; 108: 615-622. doi:10.1093/bja/aer491. Go to original source... Go to PubMed...
  10. Monnet X, Vaquer S, Anguel N, Jozwiak M, Cipriani F, Richard C, et al. Comparison of pulse contour analysis by Pulsioflex and Vigileo to measure and track changes of cardiac output in critically ill patients. Br J Anaesth. 2015; 114: 235-243. doi:10.1093/bja/aeu375. Go to original source... Go to PubMed...
  11. Perel A, Pizov R, Cotev S. Systolic blood pressure variation is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage. Anesthesiology. 1987; 67(4): 498-502. Go to original source... Go to PubMed...
  12. Michard F, Boussat S, Chemla D, Anguel N, Mercat A, Lecarpentier Y, et al. Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med. 2000; 162: 134-138. Go to original source... Go to PubMed...
  13. Lopes MR, Oliveira MA, Pereira VOS, Lemos IPB, Auler JOC, Michard F. Goal‑directed fluid management based on pulse pressure variation monitoring during high‑risk surgery: A pilot randomized controlled trial. Crit Care. 2007; 11: R100. doi:10.1186/cc6117. Go to original source... Go to PubMed...
  14. Ramsingh DS, Sanghvi C, Gamboa J, Cannesson M, Applegate RL. Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled trial. J Clin Monit Comput. 2013; 27: 249-257. doi:10.1007/s10877-012-9422-5. Go to original source... Go to PubMed...
  15. Zhang J, Qiao H, He Z, Wang Y, Che X, Liang W. Intraoperative fluid management in open gastrointestinal surgery: goal‑directed versus restrictive. Clinics. 2012; 67: 1149-1155. doi:10.6061/clinics/2012(10)06. Go to original source... Go to PubMed...
  16. Zhang J, Chen C, Lei X, Feng Z, Zhu S. Goal‑directed fluid optimization based on stroke volume variation and cardiac index during one‑lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study. Clinics. 2013; 68: 1065-1070. doi:10.6061/clinics/2013(07)27. Go to original source... Go to PubMed...
  17. Scheeren TWL, Wiesenack C, Gerlach H, Marx G. Goal‑directed intraoperative fluid therapy guided by stroke volume and its variation in high‑risk surgical patients: a prospective randomized multicentre study. J Clin Monit Comput. 2013; 27: 225-233. doi:10.1007/s10877-013-9461-6. Go to original source... Go to PubMed...
  18. Salzwedel C, Puig J, Carstens A, Bein B, Molnar Z, Kiss K, et al. Perioperative goal‑directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi‑center, prospective, randomized study. Crit Care. 2013; 17: 1. doi:10.1186/cc12885. Go to original source... Go to PubMed...
  19. Forget P, Lois F, De Kock M. Goal‑directed fluid management based on the pulse oximeter‑derived pleth variability index reduces lactate levels and improves fluid management. Anesth Analg. 2010; 111: 910-914. doi:10.1213/ANE.0b013e3181eb624f. Go to original source... Go to PubMed...
  20. Benes J, Giglio M, Brienza N, Michard F. The effects of goal‑directed fluid therapy based on dynamic parameters on post‑surgical outcome: a meta‑analysis of randomized controlled trials. Crit Care. 2014; 18: 584. doi:10.1186/s13054-014-0584-z. Go to original source... Go to PubMed...
  21. Benes J, Haidingerova L, Pouska J, Stepanik J, Stenglova A, Zatloukal J, et al. Fluid management guided by a continuous non‑invasive arterial pressure device is associated with decreased postoperative morbidity after total knee and hip replacement. BMC Anesthesiol. 2015; 15: 148. doi:10.1186/s12871-015-0131-8. Go to original source... Go to PubMed...
  22. Penaz J. Automatic noninvasive blood pressure monitor. 1989 [online]. Dostupné z: https://www.google.cz/patents/US4869261.
  23. Benes J, Zatloukal J, Simanova A, Chytra I, Kasal E. Cost analysis of the stroke volume variation guided perioperative hemodynamic optimization - an economic evaluation of the SVVOPT trial results. BMC Anesthesiol. 2014; 14: 40. doi:10.1186/1471-2253-14-40. Go to original source... Go to PubMed...
  24. Kaufmann T, Clement RP, Scheeren TWL, Saugel B, Keus F, van der Horst ICC. Perioperative goal‑directed therapy: A systematic review without meta‑analysis. Acta Anaesthesiologica Scandinavica. 2018; 62: 1340-1355. Go to original source... Go to PubMed...
  25. Myburgh JA, Finfer S, Bellomo R, Billot L, Cass A, Gattas D, et al. Hydroxyethyl starch or saline for fluid resuscitation in intensive care. N Engl J Med. 2012; 367: 1901-1911. doi:10.1056/NEJMoa1209759. Go to original source... Go to PubMed...
  26. Brienza N, Giglio MT, Marucci M, Fiore T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta‑analytic study. Crit Care Med. 2009; 37(6): 2079-2090. Go to original source... Go to PubMed...
  27. Yates DRA, Davies SJ, Milner HE, Wilson RJT. Crystalloid or colloid for goal‑directed fluid therapy in colorectal surgery. Br J Anaesth. 2014; 112: 281-289. doi:10.1093/bja/aet307. Go to original source... Go to PubMed...
  28. Bundgaard‑Nielsen M, Secher NH, Kehlet H. "Liberal" vs. "restrictive" perioperative fluid therapy - A critical assessment of the evidence: Review Article. Acta Anaesthesiol Scand. 2009; 53: 843-851. Go to original source... Go to PubMed...
  29. Thacker JKM, Mountford WK, Ernst FR, Krukas MR, Mythen MG. Perioperative fluid utilization variability and association with outcomes : Considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016; 263: 502-510. Go to original source... Go to PubMed...
  30. Shin CH, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, et al. Effects of Intraoperative Fluid Management on Postoperative Outcomes: A Hospital Registry Study. Ann Surg. 2018; 267: 1084-1092. doi:10.1097/SLA.0000000000002220. Go to original source... Go to PubMed...
  31. Chappell D, Jacob M, Hofmann‑Kiefer K, Conzen P, Reh MA. Rational Approach to Perioperative Fluid Management. Anesthesiology. 2008; 109: 723-740. doi:10.1097/ALN.0b013e3181863117. Go to original source... Go to PubMed...
  32. Brandstrup B, Svendsen PE, Rasmussen M, Belhage B, Rodt SÅ, Hansen B, et al. Which goal for fluid therapy during colorectal surgery is followed by the best outcome: Near‑maximal stroke volume or zero fluid balance? Br J Anaesth. 2012; 109(2): 191-199. Go to original source... Go to PubMed...
  33. Cannesson M. The "grey zone" or how to avoid the binary constraint of decision‑making. Can J Anesth. 2015; 62: 1139-1142. Go to original source... Go to PubMed...
  34. Akata T. General anesthetics and vascular smooth muscle: Direct actions of general anesthetics on cellular mechanisms regulating vascular tone. Anesthesiology. 2007; 106: 365-391. doi:10.1097/00000542-200702000-00026. Go to original source... Go to PubMed...
  35. de Courson H, Boyer P, Grobost R, Lanchon R, Sesay M, Nouette‑Gaulain K, et al. Changes in dynamic arterial elastance induced by volume expansion and vasopressor in the operating room: a prospective bicentre study. Ann Intensive Care. 2019; 9. doi:10.1186/s13613-019-0588-6. Go to original source... Go to PubMed...
  36. Ostadal P, Vondrakova D, Krüger A, Janotka M, Naar J. Continual measurement of arterial dP/dt max enables minimally invasive monitoring of left ventricular contractility in patients with acute heart failure. Crit Care. 2019; 23: 364. doi:10.1186/s13054-019-2654-8. Go to original source... Go to PubMed...
  37. Szturz P, Folwarczny P, Kula R, Neiser J, Ševčík P, Benes J. Multi‑parametric functional hemodynamic optimization improves postsurgical outcome after intermediate risk open gastrointestinal surgery, a randomized controlled trial. Minerva Anestesiol. 2019; 85(3): 244-254. doi:10.23736/S0375-9393.18.12467-9. Go to original source... Go to PubMed...




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