scholarly journals Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study

Critical Care ◽  
2010 ◽  
Vol 14 (3) ◽  
pp. R118 ◽  
Author(s):  
Jan Benes ◽  
Ivan Chytra ◽  
Pavel Altmann ◽  
Marek Hluchy ◽  
Eduard Kasal ◽  
...  
Keyword(s):  
High Risk ◽  
Stroke Volume ◽  
Stroke Volume Variation ◽  
Randomized Study ◽  
Surgical Patients ◽  
Prospective Randomized Study ◽  
Volume Variation ◽  
Fluid Optimization

Should We Really Use Respiratory Stroke Volume Variation to Assess Fluid Responsiveness in Cardiac Surgical Patients?

2021 ◽  
Vol 49 (11) ◽  
pp. e1191-e1192
Author(s):  
Rémi Schweizer ◽  
Philippe Portran ◽  
Matthias Jacquet-Lagreze ◽  
Jean-Luc Fellahi
Keyword(s):  
Stroke Volume ◽  
Fluid Responsiveness ◽  
Stroke Volume Variation ◽  
Surgical Patients ◽  
Volume Variation

scholarly journals The effect of compliance with a perioperative goal-directed therapy protocol on outcomes after high-risk surgery: a before-after study

2020 ◽  
Author(s):  
M. F. Boekel ◽  
C. S. Venema ◽  
T. Kaufmann ◽  
I. C. C. van der Horst ◽  
J. J. Vos ◽  
...  
Keyword(s):  
High Risk ◽  
Stroke Volume ◽  
Stroke Volume Variation ◽  
Stroke Volume Index ◽  
Postoperative Outcomes ◽  
Volume Index ◽  
Goal Directed Therapy ◽  
Volume Variation ◽  
Protocol Compliance ◽  
Therapy Protocol

Abstract Perioperative goal-directed therapy is considered to improve patient outcomes after high-risk surgery. The association of compliance with perioperative goal-directed therapy protocols and postoperative outcomes is unclear. The purpose of this study is to determine the effect of protocol compliance on postoperative outcomes following high-risk surgery, after implementation of a perioperative goal-directed therapy protocol. Through a before-after study design, patients undergoing elective high-risk surgery before (before-group) and after implementation of a perioperative goal-directed therapy protocol (after-group) were included. Perioperative goal-directed therapy in the after-group consisted of optimized stroke volume variation or stroke volume index and optimized cardiac index. Additionally, the association of protocol compliance with postoperative complications when using perioperative goal-directed therapy was assessed. High protocol compliance was defined as ≥ 85% of the procedure time spent within the individual targets. The difference in complications during the first 30 postoperative days before and after implementation of the protocol was assessed. In the before-group, 214 patients were included and 193 patients in the after-group. The number of complications was higher in the before-group compared to the after-group (n = 414 vs. 282; p = 0.031). In the after-group, patients with high protocol compliance for stroke volume variation or stroke volume index had less complications compared to patients with low protocol compliance for stroke volume variation or stroke volume index (n = 187 vs. 90; p = 0.01). Protocol compliance by the attending clinicians is essential and should be monitored to facilitate an improvement in postoperative outcomes desired by the implementation of perioperative goal-directed therapy protocols.

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