Surgery, Colorectal
Conditions
Keywords
goal-directed fluid optimization, hemodynamic optimization, crystalloid, colloid
Brief summary
The primary purpose of this study is to determine the effect of a balanced 6%hydroxyethyl starch 130/0.4 vs. a balanced crystalloid in colorectal surgery. The intraoperative fluid management will be given to optimize the stroke volume variation \<= 12%. The investigators hypothesize that patients in the intervention group will need less fluid administration be optimal hemodynamic stabilized.
Interventions
Fluid administration and optimization based on cardiac output findings during surgery.
Fluid administration and optimization based on cardiac output findings during surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing elective colorectal surgery * minimum age 18 years * informed consent
Exclusion criteria
* patients with severe cardiomyopathy or severe heart failure * history of coagulation disorders * intracranial hemorrhage * patients with severe cardiovascular or respiratory disorders * renal insufficiency * severe liver diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total amount of administered fluids | intraoperatively | Total amount of administered fluids intraoperatively that is necessary to keep patients optimal hemodynamic stabilized |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of surgery related complications | day 28 and 90 postoperatively |
Countries
Germany