Improving perioperative outcomes: fluid optimization with the esophageal Doppler monitor, a metaanalysis and review.

Study selection Randomised controlled trials (RCTs) of oesophageal Doppler monitoring used to guide intra-operative intravenous fluid therapy to optimise intravascular volume in the perioperative setting were eligible for inclusion. Length of stay in an acute care hospital setting was the primary outcome of interest. Other outcomes eligible for inclusion were: return to full oral diet; morbidity; mortality; and colloid and crystalloid volumes. Length of stay in a rehabilitation hospital was excluded.

[1]  Y. Mintz,et al.  Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. , 2003, Annals of surgery.

[2]  Feza H. Remzi,et al.  Prospective, Randomized, Controlled Trial Between a Pathway of Controlled Rehabilitation With Early Ambulation and Diet and Traditional Postoperative Care After Laparotomy and Intestinal Resection , 2003, Diseases of the colon and rectum.

[3]  Alfred Cuschieri,et al.  Abdominal Wall Lift Versus Positive-Pressure Capnoperitoneum for Laparoscopic Cholecystectomy: Randomized Controlled Trial , 2004, Annals of surgery.

[4]  S. Einav,et al.  Effect of Intraoperative Fluid Management on Outcome after Intraabdominal Surgery , 2005, Anesthesiology.

[5]  M. Singer,et al.  Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial , 1997, BMJ.

[6]  P. Glass,et al.  Goal-directed Intraoperative Fluid Administration Reduces Length of Hospital Stay after Major Surgery , 2002, Anesthesiology.

[7]  D. Elliott.  Early Goal-Directed Therapy after Major Surgery Reduces Complications and Duration of Hospital Stay , 2006 .

[8]  R. Venn,et al.  Perioperative fluid volume optimization following proximal femoral fracture. , 2004, The Cochrane database of systematic reviews.

[9]  Carol M. Mangione,et al.  Right heart catheterization and cardiac complications in patients undergoing noncardiac surgery: an observational study. , 2001 .

[10]  Paolo Pietropaoli,et al.  Cardiac output monitoring: aortic transpulmonary thermodilution and pulse contour analysis agree with standard thermodilution methods in patients undergoing lung transplantation , 2003, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[11]  S. Fleming,et al.  Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. , 2005, British journal of anaesthesia.

[12]  T. Szakmany,et al.  Effects of volumetric vs. pressure-guided fluid therapy on postoperative inflammatory response: a prospective, randomized clinical trial , 2005, Intensive Care Medicine.

[13]  I. Hozo,et al.  Estimating the mean and variance from the median, range, and the size of a sample , 2005, BMC medical research methodology.

[14]  M. Singer,et al.  Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery , 2004, BMJ : British Medical Journal.

[15]  R. Wilson,et al.  Effect of adding dopexamine to intraoperative volume expansion in patients undergoing major elective abdominal surgery. , 2003, British journal of anaesthesia.

[16]  D. Conway,et al.  Randomised controlled trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery * , 2002, Anaesthesia.

[17]  A. Webb,et al.  Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. , 1995, Archives of surgery.

[18]  E. Ivers,et al.  Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock , 2001 .

[19]  A. Hill,et al.  Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery , 2007, Anaesthesia.

[20]  R. Venn,et al.  Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. , 2002, British journal of anaesthesia.

[21]  A. Senagore,et al.  Alvimopan, for Postoperative Ileus Following Bowel Resection: A Pooled Analysis of Phase III Studies , 2007, Annals of surgery.

[22]  W. Shoemaker,et al.  Physiologic patterns in surviving and nonsurviving shock patients. Use of sequential cardiorespiratory variables in defining criteria for therapeutic goals and early warning of death. , 1973, Archives of surgery.

[23]  P. Ewings,et al.  The influence of an Enhanced Recovery Programme on clinical outcomes, costs and quality of life after surgery for colorectal cancer , 2006, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[24]  D. Lobo,et al.  Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial , 2002, The Lancet.

[25]  A. Connors,et al.  Complications of right heart catheterization. A prospective autopsy study. , 1985, Chest.

[26]  A. Horgan,et al.  Randomized clinical trial assessing the effect of Doppler‐optimized fluid management on outcome after elective colorectal resection , 2006, The British journal of surgery.

[27]  H. Kehlet,et al.  Colonic Surgery With Accelerated Rehabilitation or Conventional Care , 2004, Diseases of the colon and rectum.

[28]  S. Walsh,et al.  Doppler‐guided intra‐operative fluid management during major abdominal surgery: systematic review and meta‐analysis , 2007, International journal of clinical practice.

[29]  D. Dawson,et al.  Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445] , 2005, Critical care.

[30]  A. Webb,et al.  Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry , 1997, Intensive Care Medicine.

[31]  H. Kehlet,et al.  The Role of the Anesthesiologist in Fast-Track Surgery: From Multimodal Analgesia to Perioperative Medical Care , 2007, Anesthesia and analgesia.

[32]  Christopher H Schmid,et al.  In an empirical evaluation of the funnel plot, researchers could not visually identify publication bias. , 2005, Journal of clinical epidemiology.

[33]  R. Pradl,et al.  Esophageal Doppler-guided fluid management decreases blood lactate levels in multiple-trauma patients: a randomized controlled trial , 2007, Critical care.

[34]  R. Gosling,et al.  Non-surgical Assessment of Cardiac Function , 1971, Nature.

[35]  Henrik Kehlet,et al.  Fast-track colorectal surgery , 2008, The Lancet.

[36]  N. Secher,et al.  Monitoring of peri‐operative fluid administration by individualized goal‐directed therapy , 2007, Acta anaesthesiologica Scandinavica.

[37]  W. Shoemaker,et al.  Physiologic patterns in surviving and nonsurviving shock patients , 1973 .