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
相关论文
共 22 条
  • [1] Optimisation of intraoperative haemodynamics: early experience of its use in major head and neck surgery
    Abdel-Galil, Khalid
    Craske, David
    McCaul, James
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2010, 48 (03) : 189 - 191
  • [2] Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study
    Benes, Jan
    Chytra, Ivan
    Altmann, Pavel
    Hluchy, Marek
    Kasal, Eduard
    Svitak, Roman
    Pradl, Richard
    Stepan, Martin
    [J]. CRITICAL CARE, 2010, 14 (03):
  • [3] Bulgheroni R, 2014, J Anesth Clin Care, V1, P1, DOI [10.24966/ACC-8879/100004, DOI 10.24966/ACC-8879/100004]
  • [4] Perioperative goal-directed therapy and postoperative outcomes in patients undergoing high-risk abdominal surgery: a historical-prospective, comparative effectiveness study
    Cannesson, Maxime
    Ramsingh, Davinder
    Rinehart, Joseph
    Demirjian, Aram
    Trung Vu
    Vakharia, Shermeen
    Imagawa, David
    Yu, Zhaoxia
    Greenfield, Sheldon
    Kain, Zeev
    [J]. CRITICAL CARE, 2015, 19
  • [5] Cardiac output monitoring to guide fluid replacement in head and neck microvascular free flap surgery-what is current practice in the UK?
    Chalmers, Alison
    Turner, Matthew W. H.
    Anand, Rajiv
    Puxeddu, Roberto
    Brennan, Peter A.
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2012, 50 (06) : 500 - 503
  • [6] Predictors of morbidity following free flap reconstruction for cancer of the head and neck
    Clark, Jonathan R.
    McCluskey, Stuart A.
    Hall, Francis
    Lipa, Joan
    Neligan, Peter
    Brown, Dale
    Irish, Jonathan
    Gullane, Patrick
    Gilbert, Ralph
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2007, 29 (12): : 1090 - 1101
  • [7] The cellular, metabolic, and systemic consequences of aggressive fluid resuscitation strategies
    Cotton, Bryan A.
    Guy, Jeffrey S.
    Morris, John A., Jr.
    Abumrad, Naji N.
    [J]. SHOCK, 2006, 26 (02): : 115 - 121
  • [8] Predictors of perioperative complications in head and neck patients
    Farwell, DG
    Reilly, DF
    Weymuller, EA
    Greenberg, DL
    Staiger, TO
    Futran, NA
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2002, 128 (05) : 505 - 511
  • [9] Gooneratne H, 2013, Acta Anaesthesiol Scand, V57, P1293, DOI 10.1111/aas.12180
  • [10] Intraoperative goal-directed hemodynamic management in free tissue transfer for head and neck cancer
    Hand, William R.
    Stoll, William D.
    McEvoy, Matthew D.
    McSwain, Julie R.
    Sealy, Clark D.
    Skoner, Judith M.
    Hornig, Joshua D.
    Tennant, Paul A.
    Wolf, Bethany
    Day, Terry A.
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2016, 38 : E1974 - E1980
123