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Obesity Surgery
Published in: Obesity Surgery 6/2010

01-06-2010 | Clinical Research

Stroke Volume Variation as a Guide to Fluid Administration in Morbidly Obese Patients Undergoing Laparoscopic Bariatric Surgery

Authors: Anil Kumar Jain, Amitabh Dutta

Published in: Obesity Surgery | Issue 6/2010

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Abstract

Background

Perioperative fluid administration in morbidly obese patients is critical. There is scarcity of scientific information in literature on amount and rate of its application. Functional parameters (stroke volume variation (SVV), pulse pressure variation) are considered more accurate predictor of volume status of patients than blood pressure and central venous pressure.

Methods

SVV was used as a guide for intraoperative fluid administration in 50 morbidly obese patients subjected to bariatric surgery. Pulse contour waveform analysis (LiDCO Cardiac Sensor System, UK Company Regd. 2736561, VAT Regd. 672475708) was utilized to monitor SVV, and a value more than 10% was used as infusion trigger for intraoperative fluid management.

Results

Mean amount of fluid infused was 1,989.90 ml (±468.70 SD) for mean 206.94 min (±50.30 SD) duration of surgery. All patients maintained hemodynamic parameters (cardiac output, cardiac index, stroke volume, noninvasive blood pressure, heart rate) within 10% of the baseline values. Central venous pressure and SVV showed no correlation, except for short period initially. Renal and metabolic indices remained within normal limits.

Conclusion

Obese patients coming for laparoscopic bariatric surgery may not require excessive fluid. Intraoperative fluid requirement is the same as for nonobese patients. SVV is a valuable guide for fluid application in obese patients undergoing bariatric surgery.
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Metadata
Title
Stroke Volume Variation as a Guide to Fluid Administration in Morbidly Obese Patients Undergoing Laparoscopic Bariatric Surgery
Authors
Anil Kumar Jain
Amitabh Dutta
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 6/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-009-0070-x

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