Fluid Optimisation in Laparoscopic Colorectal Procedures
Not Applicable
Completed
- Conditions
- Perioperative Complication
- Interventions
- Procedure: Perioperative fluid optimisation
- Registration Number
- NCT04719884
- Lead Sponsor
- University Medical Centre Ljubljana
- Brief Summary
Goal-directed fluid therapy (GDFT) with hemodynamic monitoring may not be of benefit to all elective patients undergoing major abdominal surgery, particularly those managed in Enhanced Recovery After Surgery protocols (ERAS) setting.
- Detailed Description
Our study compared two groups of patients undergoing elective laparoscopic colorectal surgery: a control group (CG) in which standard haemodynamic monitoring was used, and a study group (SG) in which extended haemodynamic monitoring was applied with appropriate intraoperative interventions. Differences in intraoperative fluid management, hospital stay, and postoperative morbidity were observed.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
- patients, undergoing elective laparoscopic colorectal surgery
Exclusion Criteria
- Patients with cardiac arrhythmias
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Study group Perioperative fluid optimisation Perioperative extended haemodynamic monitoring of fluid loading, cardiac output and changes of peripheral vascular resistance by analysing the arterial curve was provided by non-invasive haemodynamic monitoring (LIDCO Rapid, Lidco Ltd., United Kingdom).In SG fluid optimisation was performed before pneumoperitoneum and after abdominal desuflation with actions to achieved CI, MAP and SI within 80% of baseline values.
- Primary Outcome Measures
Name Time Method Duration of hospitalisation 1 month after admission
- Secondary Outcome Measures
Name Time Method Perioperative complications 8 days after surgery
Trial Locations
- Locations (1)
University Medical Centre Ljubljana
🇸🇮Ljubljana, Slovenia