Impact of a goal directed fluid therapy algorithm on postoperative morbidity in patients undergoing open right hepatectomy: a single centre retrospective observational study
Laurence Weinberg, Lois Mackley, Alexander Ho, Steven Mcguigan, Damian Ianno, Matthew Yii, Jonathan Banting, Vijayragavan Muralidharan, Chong Oon Tan, Mehrdad Nikfarjam, Chris Christophi
BMC Anesthesiology | BMC | Published : 2019
BACKGROUND: Right hepatectomy is a complex procedure that carries inherent risks of perioperative morbidity. To evaluate outcome differences between a low central venous pressure fluid intervention strategy and a goal directed fluid therapy (GDFT) cardiac output algorithm we performed a retrospective observational study. We hypothesized that a GDFT protocol would result in less intraoperative fluid administration, reduced complications and a shorter length of hospital stay. METHODS: Patients undergoing hepatectomy using an established enhanced recovery after surgery (ERAS) programme between 2010 and 2017 were extracted from a prospectively managed electronic hospital database. Inclusion crit..View full abstract
The study was supported by The Department of Anesthesia Research Fund, Austin Health, Victoria, Australia. The funding body did not partake in the design of the study, and collection, analysis, and interpretation of data, or in writing the manuscript.