Goal-directed fluid management in free flap surgery for cancer of the head and neck

被引：12
作者：
Lahtinen, Sanna L. [1 ,2 ,3 ,4 ]
Liisanantti, Janne H. [2 ,3 ,4 ,5 ]
Poukkanen, Meri M. [6 ]
Laurila, Paivi A. [1 ,2 ,3 ,4 ]
机构：
[1] Oulu Univ Hosp, Dept Anesthesia, POB 21, Oulu 90029, Finland
[2] Univ Oulu, Med Res Ctr, Oulu, Finland
[3] Univ Oulu, Res Grp Surg Anesthesia & Intens Care, Oulu, Finland
[4] Oulu Univ Hosp, Oulu, Finland
[5] Oulu Univ Hosp, Div Intens Care Med, Dept Anesthesia, Oulu, Finland
[6] Lapland Cent Hosp, Dept Anesthesia & Intens Care, Rovaniemi, Finland
来源：
MINERVA ANESTESIOLOGICA | 2017年 / 83卷 / 01期
关键词：
Head and neck neoplasms; Surgical procedures; operative; Free tissue flaps; Stroke volume; STROKE VOLUME VARIATION; WAVE-FORM ANALYSIS; RISK SURGICAL-PATIENTS; FREE TISSUE TRANSFER; CARDIAC-OUTPUT; POSTOPERATIVE COMPLICATIONS; PERIOPERATIVE COMPLICATIONS; HOSPITAL STAY; MAJOR HEAD; RECONSTRUCTION;
D O I：
10.23736/S0375-9393.16.11451-8
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
BACKGROUND: Goal-directed fluid management using stroke volume variation (SVV) analysis is not well studied in free flap reconstruction surgery in patients with head and neck cancer. METHODS: Patients operated due to cancer of the head and neck with free flap reconstruction during 2008-2010 and 2012-2014 in Oulu University Hospital were retrospectively evaluated to determine the impact of SVV-guided fluid management on perioperative fluid balance, postoperative complications and hospital length of stay (LOS). RESULTS: A total of 104 patients were included in the study and in 48 of them SVV was used to guide intraoperative fluid management. The SVV-guided fluid management led to significant reduction in intraoperative fluid load (6070 mL vs. 8185 mL) and hospital length of stay (11.5 vs. 14.0 days). There was no difference in the number of postoperative complications between the groups. CONCLUSIONS: The SVV-guided fluid management reduces fluid administration in free flap reconstruction surgery with head and neck cancer.
引用
收藏
页码：59 / 68
页数：10
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