The Volume of Lactated Ringer's Solution Required to Maintain Preload and Cardiac Index During Open and Laparoscopic Surgery

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dc.contributor.authorConcha, Mario R.
dc.contributor.authorMertz, Veronica F.
dc.contributor.authorCortinez, Luis I.
dc.contributor.authorGonzalez, Katya A.
dc.contributor.authorButte, Jean M.
dc.contributor.authorLopez, Francisco
dc.contributor.authorPinedo, George
dc.contributor.authorZuniga, Alvaro
dc.date.accessioned2024-01-10T12:10:05Z
dc.date.available2024-01-10T12:10:05Z
dc.date.issued2009
dc.description.abstractBACKGROUND: Recent studies have emphasized the importance of perioperative fluid restriction. However, fluid restriction regimens may increase the likelihood of insufficient perioperative fluid administration or may result in excess intravascular crystalloid replacement. We postulate that the use of transesophageal echocardiography may reduce the amount of crystalloid administered during open and laparoscopic colorectal surgery.
dc.description.abstractMETHODS: Fifteen ASA I and II patients scheduled for open colorectal surgery, and 15 patients scheduled for laparoscopic surgery were studied. Lactated Ringer's solution was infused during the procedures. Left ventricular end diastolic volume index (LVEDVI) and cardiac index were assessed throughout surgery and used to guide the rate of lactated Ringer's solution administration. Statistical analysis was performed with Student's t-test for unpaired samples.
dc.description.abstractRESULTS: The rate of crystalloid administration required to maintain baseline LVEDVI and cardiac index was 5.9 +/- 2 mL . kg(-1) . h(-1) for open surgery and 3.4 +/- 0.8 mL . kg(-1) . h(-1) for laparoscopic surgery (P < 0.01). This slower rate for laparoscopic surgery was offset by the longer surgical duration.
dc.description.abstractCONCLUSION:The rate of crystalloid solution to maintain baseline LVEDVI and cardiac index was greater in open Surgery than laparoscopic Surgery, and lower than commonly recommended for colorectal surgery.
dc.fechaingreso.objetodigital2024-05-15
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1213/ane.0b013e3181923a38
dc.identifier.issn0003-2999
dc.identifier.pubmedidMEDLINE:19151298
dc.identifier.urihttps://doi.org/10.1213/ane.0b013e3181923a38
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76547
dc.identifier.wosidWOS:000262590000038
dc.information.autorucMedicina;Butte J;S/I;135616
dc.information.autorucMedicina;Concha M;S/I;61460
dc.information.autorucMedicina;Cortínez L;S/I;79356
dc.information.autorucMedicina;López F;S/I;172119
dc.information.autorucMedicina;Mertz V;S/I;75458
dc.information.autorucMedicina;Pinedo G;S/I;1002552
dc.information.autorucMedicina;Zúñiga A;S/I;99112
dc.issue.numero2
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final621
dc.pagina.inicio616
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaANESTHESIA AND ANALGESIA
dc.rightsacceso restringido
dc.subjectRANDOMIZED CONTROLLED-TRIAL
dc.subjectGUT MUCOSAL HYPOPERFUSION
dc.subjectTRANSESOPHAGEAL ECHOCARDIOGRAPHY
dc.subjectPOSTOPERATIVE COMPLICATIONS
dc.subjectCOLONIC RESECTION
dc.subjectFLUID MANAGEMENT
dc.subjectAORTIC-SURGERY
dc.subjectCHOLECYSTECTOMY
dc.subjectRECOVERY
dc.subjectOUTPUT
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleThe Volume of Lactated Ringer's Solution Required to Maintain Preload and Cardiac Index During Open and Laparoscopic Surgery
dc.typeartículo
dc.volumen108
sipa.codpersvinculados135616
sipa.codpersvinculados61460
sipa.codpersvinculados79356
sipa.codpersvinculados172119
sipa.codpersvinculados75458
sipa.codpersvinculados1002552
sipa.codpersvinculados99112
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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