Abstract
Does intra-operative cardiac output monitoring improve outcomes for patients undergoing elective colorectal surgery within an enhanced recovery programme?
Highlights
Intra-operative cardiac output (CO) monitoring facilitates goal-directed intra operative fluid therapy (GDFT), a constituent of enhanced recovery pathways, which using a series of pre, intra-and post-operative guidelines[1], has been shown to improve patient recovery after major surgery
Intra-operative fluid administration is important in preventing hypovolaemia and its complications including hypo-perfusion, impaired wound healing, anastomotic leak[9,10] and a systemic inflammatory response[2], but there has been much debate in the literature about which intra-operative fluid (IOF) regimen is best for patients undergoing both open and laparoscopic colorectal surgery, with many advocating restrictive, more liberal or goal-directed fluid regimens with the aim of improving patient outcomes
GDFT aims to use dynamic measurements of cardiac output to guide IOF administration to maintain a “zero fluid balance” and reduce complications associated with inappropriate peri-operative fluid administration
Summary
Intra-operative cardiac output (CO) monitoring facilitates goal-directed intra operative fluid therapy (GDFT), a constituent of enhanced recovery pathways, which using a series of pre-, intra-and post-operative guidelines[1], has been shown to improve patient recovery after major surgery. These programmes have been shown to reduce the length of hospital stay, readmissions, and 30-day morbidity[2,3,4,5,6,7,8]. GDFT aims to use dynamic measurements of cardiac output to guide IOF administration to maintain a “zero fluid balance” and reduce complications associated with inappropriate peri-operative fluid administration
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
