Does goal-directed haemodynamic and fluid therapy improve peri-operative outcomes?

European Journal of Anaesthesiology - Tập 35 Số 7 - Trang 469-483 - 2018
Matthew Chong1,2,3,4, Yongjun Wang1,2,3, Nicolas M. Berbenetz1,2,3, I. McConachie1,2,3
1Published online 23 January 2018
2Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.ejanaesthesiology.com).
3the Department of Anesthesia and Perioperative Medicine (MAC, YW, IMC) and Department of Medicine, Western University, London, Ontario, Canada (NB)
4to Dr Matthew A. Chong, MD, Department of Anesthesia and Perioperative Medicine, University Hospital – London Health Sciences Centre, 339 Windermere Road, C3-108, London, ON, Canada N6A 5A5 E-mail: [email protected]

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Shoemaker, 1988, Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients, Chest, 94, 1176, 10.1378/chest.94.6.1176

Cordero-Rochet, 2014, Goal directed fluid management in free flap reconstructive surgery, Can J Anesth, 61, S75

Ziegler, 1997, A prospective randomized trial of preoperative ‘optimization’ of cardiac function in patients undergoing elective peripheral vascular surgery, Surgery, 122, 584, 10.1016/S0039-6060(97)90132-X

Zheng, 2013, Goal-directed fluid therapy in gastrointestinal surgery in older coronary heart disease patients: randomized trial, World J Surg, 37, 2820, 10.1007/s00268-013-2203-6

Zheng, 2016, Effect of goal-directed haemodynamic management on the postoperative outcome in elderly patients with fragile cardiac function undergoing abdominal surgery, Zhonghua Yi Xue Za Zhi, 96, 3464

Zhang, 2013, Goal-directed fluid optimization based on stroke volume variation and cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study, Clinics, 68, 1065, 10.6061/clinics/2013(07)27

Zhang, 2012, Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive, Clinics, 67, 1149, 10.6061/clinics/2012(10)06

Zhang, 2012, Influence of goal-directed fluid therapy during anaesthesia on the prognosis of patients undergoing craniotomy for resection of glioma, Br J Anaesth, 108, 555

Zeng, 2014, The influence of goal-directed fluid therapy on the prognosis of elderly patients with hypertension and gastric cancer surgery, Drug Des Dev Ther, 8, 2113

Zakhaleva, 2013, The impact of intravenous fluid administration on complication rates in bowel surgery within an enhanced recovery protocol: a randomized controlled trial, Colorectal Dis, 15, 892, 10.1111/codi.12180

Yassen, 2012, Pressure versus volume indices to guide fluid infusion early after living donor liver transplantation: a prospective randomized controlled trial, Egypt J Anaesth, 28, 223, 10.1016/j.egja.2012.04.003

Wilson, 1999, Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery, BMJ, 318, 1099, 10.1136/bmj.318.7191.1099

Wakeling, 2005, Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery, Br J Anaesth, 95, 634, 10.1093/bja/aei223

Venn, 2002, Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures, Br J Anaesth, 88, 65, 10.1093/bja/88.1.65

Vanakas, 2012, Implementation of goal-directed protocol in elderly patients undergoing femoral fracture repair, Eur J Anaesthesiol, 29, 67, 10.1097/00003643-201206001-00218

Van Der Linden, 2010, A randomized controlled trial comparing an intraoperative goal-directed strategy with routine clinical practice in patients undergoing peripheral arterial surgery, Eur J Anaesthesiol, 27, 788, 10.1097/EJA.0b013e32833cb2dd

Van, 2013, Randomised controlled trial of extended postoperative goal-directed fluid therapy using oesophageal Doppler within an enhanced recovery programme for elective colorectal patients, Association of Coloproctology of Great Britain and Ireland Annual Meeting, 15, 30

Valentine, 1998, Effectiveness of pulmonary artery catheters in aortic surgery: a randomized trial, J Vasc Surg, 27, 203, 10.1016/S0741-5214(98)70351-9

Tolstova, 2010, Goal-directed fluid management during off-pump coronary artery bypass grafting: is it worth doing?, J Cardiothorac Vasc Anesth, 24, S19

Szturz, 2014, Individual goal-directed intraoperative fluid management of initially hypovolemic patients for elective major urological surgery, Bratisl Lek Listy, 115, 653

Srinivasa, 2014, Randomized clinical trial of goaldirected fluid therapy within an enhanced recovery protocol for elective colectomy, Dis Colon Rectum, 57, e88

Smetkin, 2009, Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary surgery, Acta Anaesthesiol Scand, 53, 505, 10.1111/j.1399-6576.2008.01855.x

Sinclair, 1997, Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial, BMJ, 315, 909, 10.1136/bmj.315.7113.909

Senagore, 2009, Fluid management for laparoscopic colectomy: a prospective, randomized assessment of goal-directed administration of balanced salt solution or hetastarch coupled with an enhanced recovery program, Dis Colon Rectum, 52, 1935, 10.1007/DCR.0b013e3181b4c35e

Schultz, 1985, The role of physiologic monitoring in patients with fractures of the hip, J Trauma, 25, 309, 10.1097/00005373-198504000-00005

Schmid, 2016, Algorithm-guided goal-directed haemodynamic therapy does not improve renal function after major abdominal surgery compared to good standard clinical care: a prospective randomised trial, Critical Care, 20, 50, 10.1186/s13054-016-1237-1

Scheeren, 2013, Goal-directed intraoperative fluid therapy guided by stroke volume and its variation in high-risk surgical patients: a prospective randomized multicentre study, J Clin Monit Comput, 27, 225, 10.1007/s10877-013-9461-6

Sandham, 2003, A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients, N Engl J Med, 348, 5, 10.1056/NEJMoa021108

Salzwedel, 2013, Perioperative goal-directed haemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multicenter, prospective, randomized study, Crit Care, 17, R191, 10.1186/cc12885

Ramsingh, 2013, Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled trial, J Clin Monit Comput, 27, 249, 10.1007/s10877-012-9422-5

Polonen, 2000, A prospective, randomized study of goal-oriented haemodynamic therapy in cardiac surgical patients, Anesth Analg, 90, 1052, 10.1097/00000539-200005000-00010

Pillai, 2011, A double-blind randomized controlled clinical trial to assess the effect of Doppler optimized intraoperative fluid management on outcome following radical cystectomy, J Urol, 186, 2201, 10.1016/j.juro.2011.07.093

Phan, 2014, A randomised controlled trial of fluid restriction compared to oesophageal Doppler-guided goal-directed fluid therapy in elective major colorectal surgery within an Enhanced Recovery After Surgery program, Anaesth Intensive Care, 42, 752, 10.1177/0310057X1404200611

Pestana, 2014, Perioperative goal-directed haemodynamic optimization using noninvasive cardiac output monitoring in major abdominal surgery: a prospective, randomized, multicenter, pragmatic trial: POEMAS Study (PeriOperative goal-directed thErapy in Major Abdominal Surgery), Anesth Analg, 119, 579, 10.1213/ANE.0000000000000295

Peng, 2014, Goal-directed fluid therapy based on stroke volume variations improves fluid management and gastrointestinal perfusion in patients undergoing major orthopedic surgery, Med Princ Pract, 23, 413, 10.1159/000363573

Pearse, 2005, Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial (ISRCTN38797445), Crit Care, 9, R687, 10.1186/cc3887

Pearse, 2014, Effect of a perioperative, cardiac output-guided haemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review, JAMA, 311, 2181, 10.1001/jama.2014.5305

Parke, 2015, A randomised feasibility study to assess a novel strategy to rationalise fluid in patients after cardiac surgery, Br J Anaesth, 115, 45, 10.1093/bja/aev118

Park, 2016, Effect of goal-directed fluid therapy using stroke volume variation in free flap reconstruction., Anesth Analg, 122, 302

Osawa, 2016, Effect of perioperative goal-directed haemodynamic resuscitation therapy on outcomes following cardiac surgery: a randomized clinical trial and systematic review, Crit Care Med, 44, 724, 10.1097/CCM.0000000000001479

Noblett, 2006, Randomized clinical trial assessing the effect of Doppler-optimized fluid management on outcome after elective colorectal resection, Br J Surg, 93, 1069, 10.1002/bjs.5454

Mythen, 1995, Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery, Arch Surg, 130, 423, 10.1001/archsurg.1995.01430040085019

Munoz, 2012, Intraoperative oesophageal doppler during emergency abdominal surgery, Br J Anaesth, 108, ii347

Moppett, 2015, LiDCO-based fluid management in patients undergoing hip fracture surgery under spinal anaesthesia: a randomized trial and systematic review, Br J Anaesth, 114, 444, 10.1093/bja/aeu386

Mikor, 2015, Continuous central venous oxygen saturation assisted intraoperative haemodynamic management during major abdominal surgery: a randomized, controlled trial, BMC Anesthesiol, 15, 82, 10.1186/s12871-015-0064-2

McKenny, 2013, A randomised prospective trial of intra-operative oesophageal Doppler-guided fluid administration in major gynaecological surgery, Anaesthesia, 68, 1224, 10.1111/anae.12355

McKendry, 2004, Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery, Br Med J, 329, 31, 10.1136/bmj.38156.767118.7C

Mayer, 2010, Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial, Crit Care, 14, R18, 10.1186/cc8875

Martini, 2009, Perioperative fluid administration in pancreatic surgery: Comparison of three regimens, Crit Care, 13, S80, 10.1186/cc7363

Lopes, 2007, Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial, Crit Care, 11, R100, 10.1186/cc6117

Lai, 2015, Randomized controlled trial of stroke volume optimization during elective major abdominal surgery in patients stratified by aerobic fitness, Br J Anaesth, 115, 578, 10.1093/bja/aev299

Kumar, 2015, Outcomes of implementation of enhanced goal directed therapy in high-risk patients undergoing abdominal surgery, Indian J Anaesth, 59, 228, 10.4103/0019-5049.155000

Kumar, 2016, Outcomes associated with stroke volume variation versus central venous pressure guided fluid replacements during major abdominal surgery, J Anaesthesiol Clin Pharmacol, 32, 182, 10.4103/0970-9185.182103

Kulkarni, 2012, Haemodynamic optimisation in head and neck cancer surgery; Pilot randomised controlled trial of LiDCO rapid, Eur Arch Oto-Rhino-Laryngol, 269, 4

Khambalia, 2015, Supra-physiological haemodynamic optimisation improves short-term outcomes following simultaneous pancreas and kidney transplantation: a randomised clinical trial (NCT01619904), Transpl Int, 28, 35

Kellman, 2014, Prospective randomized clinical trial comparing routine intraoperative transesophageal echocardiography to standard care during radical cystectomy, Anesth Analg, 118, 53

Kapoor, 2008, Early goal-directed therapy in moderate to high-risk cardiac surgery patients, Ann Card Anaesth, 11, 27, 10.4103/0971-9784.38446

Kapoor, 2016, Perioperative utility of goal-directed therapy in high-risk cardiac patients undergoing coronary artery bypass grafting: ‘a clinical outcome and biomarker-based study’, Ann Card Anaesth, 19, 638, 10.4103/0971-9784.191552

Jhanji, 2010, Haemodynamic optimisation improves tissue microvascular flow and oxygenation after major surgery: a randomised controlled trial, Crit Care, 14, R151, 10.1186/cc9220

Jerez Gomez-Coronado, 2001, Haemodynamic optimization and morbimortality after heart surgery, Med Intens, 25, 2001

Jammer, 2015, Stroke volume variation to guide fluid therapy: is it suitable for high-risk surgical patients? A terminated randomized controlled trial, Perioper Med, 4, 6, 10.1186/s13741-015-0016-x

Han, 2016, Application of LiDCO-Rapid in peri-operative fluid therapy for aged patients undergoing total hip replacement, Int J Clin Exp Med, 9, 29

Hand, 2015, Intraoperative goal-directed haemodynamic management in free tissue transfer for head and neck cancer, Head Neck, 38, E1974, 10.1002/hed.24362

Harten, 2008, Effect of intraoperative fluid optimisation on renal function in patients undergoing emergency abdominal surgery: a randomised controlled pilot study (ISRCTN 11799696), Int J Surg, 6, 197, 10.1016/j.ijsu.2008.03.002

Hughes, 2013, Peri-operative haemodynamic optimisation using pulsioflex monitoring in whipples surgery, Anaesthesia, 68, 33

Goepfert, 2013, Individually optimized haemodynamic therapy reduces complications and length of stay in the intensive care unit: a prospective, randomized controlled trial, Anesthesiology, 119, 824, 10.1097/ALN.0b013e31829bd770

Gerent, 2015, Goal-directed therapy in cancer surgery: a randomised and controlled trial (GRICS II), Intensive Care Med Experimental, 3, A819, 10.1186/2197-425X-3-S1-A819

Gan, 2002, Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery, Anesthesiology, 97, 820, 10.1097/00000542-200210000-00012

Funk, 2015, A randomized controlled trial on the effects of goal-directed therapy on the inflammatory response open abdominal aortic aneurysm repair, Critical Care, 19, 247, 10.1186/s13054-015-0974-x

Fellahi, 2015, Early goal-directed therapy based on endotracheal bioimpedance cardiography: a prospective, randomized controlled study in coronary surgery, J Clin Monit Comput, 29, 351, 10.1007/s10877-014-9611-5

El Sharkawy, 2013, Transoesophageal Doppler compared to central venous pressure for perioperative haemodynamic monitoring and fluid guidance in liver resection, Saudi J Anaesth, 7, 378, 10.4103/1658-354X.121044

Donati, 2007, Goal-directed intraoperative therapy reduces morbidity and length of hospital stay in high-risk surgical patients, Chest, 132, 1817, 10.1378/chest.07-0621

Correa-Gallego, 2015, Goal-directed fluid therapy using stroke volume variation for resuscitation after low central venous pressure-assisted liver resection: a randomized clinical trial, J Am Coll Surg, 221, 591, 10.1016/j.jamcollsurg.2015.03.050

Conway, 2002, Randomised controlled trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery, Anaesthesia, 57, 845, 10.1046/j.1365-2044.2002.02708.x

Colantonio, 2015, A randomized trial of goal directed vs. standard fluid therapy in cytoreductive surgery with hyperthermic intraperitoneal chemotherapy, J Gastrointest Surg, 19, 722, 10.1007/s11605-015-2743-1

Challand, 2012, Randomized controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery, Br J Anaesth, 108, 53, 10.1093/bja/aer273

Cecconi, 2011, Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia, Crit Care, 15, R132, 10.1186/cc10246

Calvo Vecino, 2014, Efficacy of intraoperatory optimisation offluids guided with transoesophageal doppler monitorisation: A multicentre randomised controlled trial, Eur J Anaesthesiol, 31, 13, 10.1097/00003643-201406001-00035

Bundgaard-Nielsen, 2013, Does goal-directed fluid therapy affect postoperative orthostatic intolerance?: A randomized trial, Anesthesiology, 119, 813, 10.1097/ALN.0b013e31829ce4ea

Buettner, 2008, Influence of systolic-pressure-variation-guided intraoperative fluid management on organ function and oxygen transport, Br J Anaesth, 101, 194, 10.1093/bja/aen126

Broch, 2016, Noninvasive haemodynamic optimization in major abdominal surgery: a feasibility study, Minerva Anestesiol, 82, 1158

Brandstrup, 2012, Which goal for fluid therapy during colorectal surgery is followed by the best outcome: near-maximal stroke volume or zero fluid balance?, Br J Anaesth, 109, 191, 10.1093/bja/aes163

Boyd, 1993, A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients, JAMA, 270, 2699, 10.1001/jama.1993.03510220055034

Ackland, 2015, Individualised oxygen delivery targeted haemodynamic therapy in high-risk surgical patients: a multicentre, randomised, double-blind, controlled, mechanistic trial, Lancet Respir Med, 3, 33, 10.1016/S2213-2600(14)70205-X

Bartha, 2013, Randomized controlled trial of goal-directed haemodynamic treatment in patients with proximal femoral fracture, Br J Anaesth, 110, 545, 10.1093/bja/aes468

Bender, 1997, Routine pulmonary artery catheterization does not reduce morbidity and mortality of elective vascular surgery: results of a prospective, randomized trial, Ann Surg, 226, 229, 10.1097/00000658-199709000-00002

Benes, 2010, Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study, Crit Care, 14, R118, 10.1186/cc9070

Benes, 2015, Fluid management guided by a continuous noninvasive arterial pressure device is associated with decreased postoperative morbidity after total knee and hip replacement, BMC Anesthesiol, 15, 148, 10.1186/s12871-015-0131-8

Berlauk, 1991, Preoperative optimization of cardiovascular haemodynamics improves outcome in peripheral vascular surgery. A prospective, randomized clinical trial, Ann Surg, 214, 289, 10.1097/00000658-199109000-00011

Bisgaard, 2013, Haemodynamic optimisation in lower limb arterial surgery: room for improvement?, Acta Anaesthesiol Scand, 57, 189, 10.1111/j.1399-6576.2012.02755.x

Bisgaard, 2013, Optimising stroke volume and oxygen delivery in abdominal aortic surgery: a randomised controlled trial, Acta Anaesthesiol Scand, 57, 178, 10.1111/j.1399-6576.2012.02756.x

Bonazzi, 2002, Impact of perioperative haemodynamic monitoring on cardiac morbidity after major vascular surgery in low risk patients. A randomised pilot trial, Eur J Vasc Endovasc Surg, 23, 445, 10.1053/ejvs.2002.1617

Forget, 2010, Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management, Anesth Analg, 111, 910, 10.1213/ANE.0b013e3181eb624f

Oubaha, 2009, Does stroke volume variation guided fluid management improve postoperative outcome?, Eur J Anaesthesiol, 26, 39

Abbas, 2008, Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery, Anaesthesia, 63, 44, 10.1111/j.1365-2044.2007.05233.x

Vincent, 2011, Clinical review: update on haemodynamic monitoring – a consensus of 16, Crit Care, 15, 229, 10.1186/cc10291

Arulkumaran, 2014, Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis, Br J Anaesth, 112, 648, 10.1093/bja/aet466

Corcoran, 2012, Perioperative fluid management strategies in major surgery: a stratified meta-analysis, Anesth Analg, 114, 640, 10.1213/ANE.0b013e318240d6eb

Jia, 2017, Liberal versus restrictive fluid management in abdominal surgery: a meta-analysis, Surg Today, 47, 344, 10.1007/s00595-016-1393-6

Schol, 2016, Liberal or restrictive fluid management during elective surgery: a systematic review and meta-analysis, J Clin Anesth, 35, 26, 10.1016/j.jclinane.2016.07.010

Boland, 2013, Perioperative fluid restriction in major abdominal surgery: systematic review and meta-analysis of randomized, clinical trials, World J Surg, 37, 1193, 10.1007/s00268-013-1987-8

Grocott, 2013, Perioperative increase in global blood flow to explicit defined goals and outcomes after surgery: a Cochrane Systematic Review, Br J Anaesth, 111, 535, 10.1093/bja/aet155

Liberati, 2009, The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration, J Clin Epidemiol, 62, e1, 10.1016/j.jclinepi.2009.06.006

Corbett, 2014, Assessing baseline imbalance in randomised trials: implications for the Cochrane risk of bias tool, Res Synth Methods, 5, 79, 10.1002/jrsm.1090

Guyatt, 2008, GRADE: an emerging consensus on rating quality of evidence and strength of recommendations, BMJ, 336, 924, 10.1136/bmj.39489.470347.AD

Bangalore, 2015, Complete versus culprit-only revascularization for ST-segment–elevation myocardial infarction and multivessel disease a meta-analysis and trial sequential analysis of randomized trials, Circulation, 8, e002142

Zarychanski, 2013, Association of hydroxyethyl starch administration with mortality and acute kidney injury in critically ill patients requiring volume resuscitation: a systematic review and meta-analysis, JAMA, 309, 678, 10.1001/jama.2013.430

2003, Practice guidelines for pulmonary artery catheterization: an updated report by the American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization., Anesthesiology, 99, 988, 10.1097/00000542-200310000-00036

Checketts, 2016, Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland, Anaesthesia, 71, 85, 10.1111/anae.13316

Rollins, 2016, Intraoperative goal-directed fluid therapy in elective major abdominal surgery: a meta-analysis of randomized controlled trials, Ann Surg, 263, 465, 10.1097/SLA.0000000000001366

Som, 2017, Goal directed fluid therapy decreases postoperative morbidity but not mortality in major noncardiac surgery: a meta-analysis and trial sequential analysis of randomized controlled trials, J Anesth, 31, 66, 10.1007/s00540-016-2261-7

Benes, 2014, The effects of goal-directed fluid therapy based on dynamic parameters on postsurgical outcome: a meta-analysis of randomized controlled trials, Crit Care, 18, 584, 10.1186/s13054-014-0584-z

Biais, 2009, A comparison of stroke volume variation measured by Vigileo/FloTrac system and aortic Doppler echocardiography, Anesth Analg, 109, 466, 10.1213/ane.0b013e3181ac6dac

Lahner, 2009, Evaluation of stroke volume variation obtained by arterial pulse contour analysis to predict fluid responsiveness intraoperatively, Br J Anaesth, 103, 346, 10.1093/bja/aep200

Marquez, 2008, Ability of pulse power, esophageal Doppler, and arterial pulse pressure to estimate rapid changes in stroke volume in humans, Crit Care Med, 36, 3001, 10.1097/CCM.0b013e31818b31f0

Bhandari, 2004, Association between industry funding and statistically significant pro-industry findings in medical and surgical randomized trials, CMAJ, 170, 477