Colectomy, Fluid Therapy, Pancreatectomy
Conditions
Keywords
Major abdominal surgery, Goal directed therapy
Brief summary
This study examines the effect of an algorithm for GDT for patients undergoing major surgery under routine conditions.
Detailed description
Goal directed fluid management in major abdominal surgery has been shown to reduce perioperative complications. The approach aims to optimize the intravascular fluid volume by use of minimally invasive devices which calculate flow-directed variables such as stroke volume (SV) and stroke volume variation (SVV). The investigators aim to show the feasibility of routinely implementing such hemodynamic monitoring during major abdominal surgery, and to evaluate its effects in terms of perioperative fluid management and postoperative outcomes.
Interventions
None listed
Sponsors
Philipps University Marburg
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* pancreatic surgery * colorectal surgery
Exclusion criteria
* admission for revisional surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay in hospital | 90 days |
Secondary
| Measure | Time frame |
|---|---|
| intraoperative crystalloid volume | 1 day |
| intraoperative colloid volume | 1 day |
| Length of stay at ICU | 90 days |
| Total amount of complications per patient | 90 days |
| Insufficiance of bowel anastomosis | 90 days |
| acute renal failure | 90 days |
| ACS | 90 days |
| Sepsis | 90 days |
| Intraabd. Infection | 90 days |
| wound infection | 90 days |
| UTI | 90 days |
| Pneumonia | 90 days |
Countries
Germany
Outcome results
None listed