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Open Access 01-12-2015 | Consensus statement

Perioperative fluid therapy: a statement from the international Fluid Optimization Group

Authors: Lais Helena Camacho Navarro, Joshua A Bloomstone, Jose Otavio Costa Auler Jr, Maxime Cannesson, Giorgio Della Rocca, Tong J Gan, Michael Kinsky, Sheldon Magder, Timothy E Miller, Monty Mythen, Azriel Perel, Daniel A Reuter, Michael R Pinsky, George C Kramer

Published in: Perioperative Medicine | Issue 1/2015

Abstract

Background

Perioperative fluid therapy remains a highly debated topic. Its purpose is to maintain or restore effective circulating blood volume during the immediate perioperative period. Maintaining effective circulating blood volume and pressure are key components of assuring adequate organ perfusion while avoiding the risks associated with either organ hypo- or hyperperfusion. Relative to perioperative fluid therapy, three inescapable conclusions exist: overhydration is bad, underhydration is bad, and what we assume about the fluid status of our patients may be incorrect. There is wide variability of practice, both between individuals and institutions. The aims of this paper are to clearly define the risks and benefits of fluid choices within the perioperative space, to describe current evidence-based methodologies for their administration, and ultimately to reduce the variability with which perioperative fluids are administered.

Methods

Based on the abovementioned acknowledgements, a group of 72 researchers, well known within the field of fluid resuscitation, were invited, via email, to attend a meeting that was held in Chicago in 2011 to discuss perioperative fluid therapy. From the 72 invitees, 14 researchers representing 7 countries attended, and thus, the international Fluid Optimization Group (FOG) came into existence. These researches, working collaboratively, have reviewed the data from 162 different fluid resuscitation papers including both operative and intensive care unit populations. This manuscript is the result of 3 years of evidence-based, discussions, analysis, and synthesis of the currently known risks and benefits of individual fluids and the best methods for administering them.

Results

The results of this review paper provide an overview of the components of an effective perioperative fluid administration plan and address both the physiologic principles and outcomes of fluid administration.

Conclusions

We recommend that both perioperative fluid choice and therapy be individualized. Patients should receive fluid therapy guided by predefined physiologic targets. Specifically, fluids should be administered when patients require augmentation of their perfusion and are also volume responsive. This paper provides a general approach to fluid therapy and practical recommendations.

Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242:326–41.PubMedCentralPubMed

Dimick JB, Chen SL, Taheri PA, Henderson WG, Khuri SF, Campbell Jr DA. Hospital costs associated with surgical complications: a report from the private-sector National Surgical Quality Improvement Program. J Am Coll Surg. 2004;199:531–7.PubMed

Bellamy MC. Wet, dry or something else? Br J Anaesth. 2006;97:755–7.PubMed

Doherty M, Buggy DJ. Intraoperative fluids: how much is too much? Br J Anaesth. 2012;109:69–79.PubMed

Holte K, Sharrock NE, Kehlet H. Pathophysiology and clinical implications of perioperative fluid excess. Br J Anaesth. 2002;89:622–32.PubMed

Kaye AD, Riopelle JM. Intravascular fluid and electrolyte physiology. In: Miller’s Anesthesia. 7th ed. Missouri: Churchill Livingstone; 2009. p. 1705–37.

Bundgaard-Nielsen M, Jorgensen CC, Secher NH, Kehlet H. Functional intravascular volume deficit in patients before surgery. Acta Anaesthesiol Scand. 2010;54:464–9.PubMed

Hamilton MA, Cecconi M, Rhodes A. A systematic review and meta-analysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high-risk surgical patients. Anesth Analg. 2011;112:1392–402.PubMed

Lees N, Hamilton M, Rhodes A. Clinical review: goal-directed therapy in high risk surgical patients. Crit Care. 2009;13:231.PubMedCentralPubMed

10.

Gurgel ST, Nascimento Jr P. Maintaining tissue perfusion in high-risk surgical patients: a systematic review of randomized clinical trials. Anesth Analg. 2011;112:1384–91.PubMed

11.

Chawla LS, Ince C, Chappell D, Gan TJ, Kellum JA, Mythen M, et al. Vascular content, tone, integrity, and haemodynamics for guiding fluid therapy: a conceptual approach. Br J Anaesth. 2014;113:748–55.PubMed

12.

Junghans T, Neuss H, Strohauer M, Raue W, Haase O, Schink T, et al. Hypovolemia after traditional preoperative care in patients undergoing colonic surgery is underrepresented in conventional hemodynamic monitoring. Int J Colorectal Dis. 2006;21:693–7.PubMed

13.

Cocchi MN, Kimlin E, Walsh M, Donnino M. Identification and resuscitation of the trauma patient in shock. Emerg Med Clin N Am. 2007;25:623–42.

14.

Hamilton-Davies C, Mythen M, Salmon J, Jacobson D, Shukla A, Webb AR. Comparison of commonly used clinical indicators of hypovolemia with gastrointestinal tonometry. Intensive Care Med. 1997;23:276–81.PubMed

15.

Iregui MG, Prentice D, Sherman G, Schallom L, Sona C, Kollef MH. Physician’s estimates of cardiac index and intravascular volume based on clinical assessment versus transesophageal Doppler measurements obtained by critical care nurses. Am J Crit Care. 2003;12:336–42.PubMed

16.

Holte K, Kehlet H. Fluid therapy and surgical outcomes in elective surgery: a need for reassessment of fast-track surgery. J Am Coll Surg. 2006;202:971–89.PubMed

17.

Brandstrup B. Fluid therapy for the surgical patient. Best Pract Res Clin Anaesthesiol. 2006;20:265–83.PubMed

18.

Marjanovic G, Villain C, Juettner E, Zur Hausen A, Hoeppner J, Hopt UT, et al. Impact of different crystalloid volume regimes on intestinal anastomotic stability. Ann Surg. 2009;249:181–5.PubMed

19.

Nessim C, Sidéris L, Turcotte S, Vafiadis P, Lapostole AC, Simard S, et al. The effect of fluid overload in the presence of an epidural on the strength of colonic anastomoses. J Surg Res. 2013;183:567–73.PubMed

20.

Kulemann B, Timme S, Seifert G, Holzner PA, Glatz T, Sick O, et al. Intraoperative crystalloid overload leads to substantial inflammatory infiltration of intestinal anastomoses - a histomorphological analysis. Surgery. 2013;154:596–603.PubMed

21.

Rahbari NN, Zimmermann JB, Schmidt T, Koch M, Weigand MA, Weitz J. Meta-analysis of standard, restrictive and supplemental fluid administration in colorectal surgery. Br J Surg. 2009;96:331–41.PubMed

22.

Corcoran T, Rhodes JEJ, Clarke S, Myles PS, Ho KM. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012;114:640–51.PubMed

23.

Brandstrup B, Svendsen PE, Rasmussen M, Belhage B, Rodt SÅ, Hansen B, et al. Which goal for fluid therapy during colorectal surgery is followed by the best outcome: near-maximal stroke volume or zero fluid balance? Br J Anaesth. 2012;109:191–9.PubMed

24.

Nisanevich V, Felsenstein I, Almogy G, Weissman C, Einav S, Matot I. Effect of intraoperative fluid management on outcome after intraabdominal surgery. Anesthesiology. 2005;103:25–32.PubMed

25.

Srinivasa S, Lemanu DP, Singh PP, Taylor MH, Hill AG. Systematic review and meta-analysis of oesophageal Doppler-guided fluid management in colorectal surgery. Br J Surg. 2013;100:1701–8.PubMed

26.

National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network, Wiedemann HP, Wheeler AP, Bernard GR, Thompson BT, Hayden D, et al. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med. 2006;354:2564–75.

27.

Wiedemann HP. A perspective on the fluids and catheters treatment trial (FACTT) fluid restriction is superior in acute lung injury and ARDS. Cleve Clin J Med. 2008;75:42–8.PubMed

28.

Perel A, Habicher M, Sander M. Bench-to-bedside review: functional hemodynamics during surgery - should it be used for all high-risk cases? Crit Care. 2013;17:203.PubMedCentralPubMed

29.

Mythen MG, Webb AR. Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg. 1995;130:423–9.PubMed

30.

Sinclair S, James S, Singer M. Intraoperative intravascular volume optimization and length of hospital stay after repair of proximal femoral fracture: randomized controlled trial. BMJ. 1997;315:909–12.PubMedCentralPubMed

31.

Kita T, Mammoto T, Kishi Y. Fluid management and postoperative respiratory disturbances in patients with transthoracic esophagectomy for carcinoma. J Clin Anesth. 2002;14:252–6.PubMed

32.

Conway DH, Mayall R, Abdul-Latif MS, Gilligan S, Tackaberry C. Randomised controlled trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery. Anaesthesia. 2002;57:845–9.PubMed

33.

Gan TJ, Soppitt A, Maroof M, El Moalem H, Robertson KM, Moretti E, et al. Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery. Anesthesiology. 2002;97:820–6.PubMed

34.

Venn R, Steele A, Richardson P, Poloniecki J, Grounds M, Newman P. Randomized controlled trial to investigate influence of the fluid challenge on duration of hospital stay and perioperative morbidity in patients with hip fractures. Br J Anaesth. 2002;88:65–71.PubMed

35.

Brandstrup B, Tønnesen H, Beier-Holgersen R, Hjortsø E, Ørding H, Lindorff-Larsen K, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann Surg. 2003;238:641–8.PubMedCentralPubMed

36.

Sandham JD, Hull RD, Brant RF, Knox L, Pineo GF, Doig CJ, et al. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med. 2003;348:5–14.PubMed

37.

Wakeling HG, McFall MR, Jenkins CS, Woods WG, Miles WF, Barclay GR, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth. 2005;95:634–42.PubMed

38.

Noblett SE, Snowden CP, Shenton BK, Horgan AF. Randomized clinical trial assessing the effect of Doppler-optimized fluid management on outcome after elective colorectal resection. Br J Surg. 2006;93:1069–76.PubMed

39.

Resano FG, Kapetanakis EI, Hill PC, Haile E, Corso PJ. Clinical outcomes of low-risk patients undergoing beating-heart surgery with or without pulmonary artery catheterization. J Cardiothorac Vasc Anesth. 2006;20:300–6.PubMed

40.

Donati A, Loggi S, Preiser JC, Orsetti G, Münch C, Gabbanelli V, et al. Goal-directed intraoperative therapy reduces morbidity and length of hospital stay in high-risk surgical patients. Chest. 2007;132:1817–24.PubMed

41.

Goepfert MS, Reuter DA, Akyol D, Lamm P, Kilger E, Goetz AE. Goal-directed fluid management reduces vasopressor and catecholamine use in cardiac surgery patients. Intensive Care Med. 2007;33:96–103.PubMed

42.

Lopes MR, Oliveira MA, Pereira VOS, Lemos IPB, Auler JOC, Michard F. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit Care. 2007;11:R100.PubMedCentralPubMed

43.

Kapoor PM, Kakani M, Chowdhury U, Choudhury M, Lakshmy KU. Early goal-directed therapy in moderate to high-risk cardiac surgery patients. Ann Card Anaesth. 2008;11:27–34.PubMed

44.

Smetkin AA, Kirov MY, Kuzkov VV, Lenkin AI, Eremeev AV, Slastilin VY, et al. Single transpulmonary thermodilution and continuous monitoring of central venous oxygen saturation during off-pump coronary surgery. Acta Anaesthesiol Scand. 2009;53:505–14.PubMed

45.

Senagore AJ, Emery T, Luchtefeld M, Kim D, Dujovny N, Hoedema R. Fluid management for laparoscopic colectomy: a prospective, randomized assessment of goal-directed administration of balanced salt solution or hetastarch coupled with an enhanced recovery program. Dis Colon Rectum. 2009;52:1935–40.PubMed

46.

Forget P, Lois F, de Kock M. Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management. Anesth Analg. 2010;111:910–4.PubMed

47.

Wenkui Y, Ning L, Jianfeng G, Weiqin L, Shaoqiu T, Zhihui T, et al. Restricted peri-operative fluid administration adjusted by serum lactate level improved outcome after major elective surgery for gastrointestinal malignancy. Surgery. 2010;147:542–52.PubMed

48.

Futier E, Robin E, Jabaudon M, Guerin R, Petit A, Bazin JE, et al. Central venous O₂ saturation and venous-to-arterial CO₂ difference as complementary tools for goal-directed therapy during high-risk surgery. Crit Care. 2010;14:R193.PubMedCentralPubMed

49.

Van der Linden PJ, Dierick A, Wilmin S, Bellens B, De Hert SG. A randomized controlled trial comparing an intraoperative goal-directed strategy with routine clinical practice in patients undergoing peripheral arterial surgery. Eur J Anaesthesiol. 2010;27:788–93.PubMed

50.

Mayer J, Boldt J, Mengistu AM, Röhm KD, Suttner S. Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit Care. 2010;14:R18.PubMedCentralPubMed

51.

Benes J, Chytra I, Altmann P, Hluchy M, Kasal E, Svitak R, et al. Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care. 2010;14:R118.PubMedCentralPubMed

52.

Cecconi M, Langiano N, Divella M, Costa MG, Rhodes A, Della Rocca G. Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Crit Care. 2011;15:R132.PubMedCentralPubMed

53.

Abdullah MH, Hasanin AS, Mahmoud FM. Goal directed fluid optimization using pleth variability index versus corrected flow time in cirrhotic patients undergoing major abdominal surgeries. Egyp J Anaesth. 2012;28:23–8.

54.

Challand C, Struthers R, Sneyd JR, Erasmus PD, Mellor N, Hosie KB, et al. Randomized controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery. Br J Anaesth. 2012;108:53–62.PubMed

55.

Feldheiser A, Conroy P, Bonomo T, Cox B, Ruiz Garces T, Spies C, et al. Development and feasibility study of an algorithm for intraoperative goal-directed haemodynamic management in noncardiac surgery. J Int Med Res. 2012;40:1227–41.PubMed

56.

Srinivasa S, Taylor MH, Singh PP, Yu TC, Soop M, Hill AG. Randomized clinical trial of goal-directed fluid therapy within an enhanced recovery protocol for elective colectomy. Br J Surg. 2013;100:66–74.PubMed

57.

Feldheiser A, Pavlova V, Bonomo T, Jones A, Fotopoulou C, Sehouli J, et al. Balanced crystalloid compared with balanced colloid solution using a goal-directed haemodynamic algorithm. Br J Anaesth. 2013;110:231–40.PubMed

58.

Salzwedel C, Puig J, Carstens A, Bein B, Molnar Z, Kiss K, et al. Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications after major abdominal surgery: a multi-center, prospective, randomized study. Crit Care. 2013;17:R191.PubMedCentralPubMed

59.

Pearse RM, Harrison DA, MacDonald N, Gillies MA, Blunt M, Ackland G, et al. Effect of a peri-operative, cardiac output-guided, hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and updated systematic review. JAMA. 2014;311:2181–90.PubMed

60.

Arieff AI. Fatal postoperative pulmonary edema: pathogenesis and literature review. Chest. 1999;115:1371–7.PubMed

61.

Callum KG, Carr NJ, Gray AJ, Hargraves CM, Hoile RW, Ingram GS, et al. The report of the national confidential enquiry into perioperative death. London: National Confidential Enquiry Into Perioperative Deaths; 1999.

62.

Cannesson M, Pestel G, Ricks C, Hoeft A, Perel A. Hemodynamic monitoring and management in patients undergoing high risk surgery: a survey among North American and European anesthesiologists. Crit Care. 2011;15:R197.PubMedCentralPubMed

63.

James MF, Michell WL, Joubert IA, Nicol AJ, Navsaria PH, Gillespie RS. Resuscitation with hydroxyethyl starch improves renal function and lactate clearance in penetrating trauma in a randomized controlled study: the FIRST trial (Fluids in Resuscitation of Severe Trauma). Br J Anaesth. 2011;107:693–702.PubMed

64.

Yeager MP, Spence BC. Perioperative fluid management: current consensus and controversies. Semin Dial. 2006;19:472–9.PubMed

65.

Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest. 2002;121:2000–8.PubMed

66.

Michard F. Changes in arterial pressure during mechanical ventilation. Anesthesiology. 2005;103:419–28.PubMed

67.

Hofer CK, Muller SM, Furrer L, Klaghofer R, Genoni M, Zollinger A. Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting. Chest. 2005;128:848–54.PubMed

68.

Solus-Biguenet H, Fleyfel M, Tavernier B, Kipnis E, Onimus J, Robin E, et al. Non-invasive prediction of fluid responsiveness during major hepatic surgery. Br J Anaesth. 2006;97:808–16.PubMed

69.

Auler Jr JO, Galas F, Hajjar L, Santos L, Carvalho T, Michard F. Online monitoring of pulse pressure variation to guide fluid therapy after cardiac surgery. Anesth Analg. 2008;106:1201–6.PubMed

70.

Perel A, Pizov R, Cotev S. Respiratory variations in the arterial pressure during mechanical ventilation reflect volume status and fluid responsiveness. Intensive Care Med. 2014;40:798–807.PubMed

71.

de Waal EE, Rex S, Kruitwagen CL, Kalkman CJ, Buhre WF. Dynamic preload indicators fail to predict fluid responsiveness in open-chest conditions. Crit Care Med. 2009;37:510–5.PubMed

72.

Marik PE, Cavallazzi R, Vasu T, Hirani A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med. 2009;37:2642–7.PubMed

73.

Levitov A, Marik PE. Echocardiographic assessment of preload responsiveness in critically ill patients. Cardiol Res Pract. 2012;2012:819696.PubMedCentralPubMed

74.

Kehlet H, Bundgaard-Nielsen M. Goal-directed perioperative fluid management. Anesthesiology. 2009;110:453–5.PubMed

75.

Kinberger O, Arnberger M, Brandt S, Plock J, Sigurdsson GH, Kurz A, et al. Goal-directed colloid administration improves the microcirculation of healthy and perianastomotic colon. Anesthesiology. 2009;110:496–504.

76.

Pizov R, Eden A, Bystritski D, Kalina E, Tamir A, Gelman S. Arterial and plethysmographic waveform analysis in anesthetized patients with hypovolemia. Anesthesiology. 2010;113:83–91.PubMed

77.

Hood JA, Wilson RJT. Pleth variability index to predict fluid responsiveness in colorectal surgery. Anesth Analg. 2011;113:1058–63.PubMed

78.

Kobayashi M, Koh M, Irinoda T, Meguro E, Hayakawa Y, Takagane A. Stroke volume variation as a predictor of intravascular volume depression and possible hypotension during the early postoperative period after esophagectomy. Ann Surg Oncol. 2009;16:1371–7.PubMed

79.

Preisman S, Kogan S, Berkenstadt H, Perel A. Predicting fluid responsiveness in patients undergoing cardiac surgery: functional haemodynamic parameters including the Respiratory Systolic Variation Test and static preload indicators. Br J Anaesth. 2005;95:746–55.PubMed

80.

Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O, et al. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008;101:200–6.PubMed

81.

Belloni L, Pisano A, Natale A, Piccirillo MR, Piazza L, Ismeno G, et al. Assessment of fluid-responsiveness parameters for off-pump coronary artery bypass surgery: a comparison among LiDCO, transesophageal echocardiography, and pulmonary artery catheter. J Cardiothorac Vasc Anesth. 2008;22:243–8.PubMed

82.

Reuter DA, Felbinger TW, Schmidt C, Kilger E, Goedje O, Lamm P, et al. Stroke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery. Intensive Care Med. 2002;28:392–8.PubMed

83.

Reuter DA, Kirchner A, Felbinger TW, Weis FC, Kilger E, Lamm P, et al. Usefulness of left ventricular stroke volume variation to assess fluid responsiveness in patients with reduced cardiac function. Crit Care Med. 2003;31:1399–404.PubMed

84.

Hofer CK, Senn A, Weibel L, Zollinger A. Assessment of stroke volume variation for prediction of fluid responsiveness using the modified FloTrac and PiCCOplus system. Crit Care. 2008;12:R82.PubMedCentralPubMed

85.

Cannesson M, Musard H, Desebbe O, Boucau C, Simon R, Hénaine R, et al. The ability of stroke volume variations obtained with Vigileo/FloTrac system to monitor fluid responsiveness in mechanically ventilated patients. Anesth Analg. 2009;108:513–7.PubMed

86.

Wyffels PAH, Durnez PJ, Helderweirt J, Stockman WMA, De Kegel D. Ventilation-induced plethysmographic variations predict fluid responsiveness in ventilated postoperative cardiac surgery patients. Anesth Analg. 2007;105:448–52.PubMed

87.

Berkenstadt H, Margalit N, Hadani M, Friedman Z, Segal E, Villa Y, et al. Stroke volume variation as a predictor of fluid responsiveness in patients undergoing brain surgery. Anesth Analg. 2001;92:984–9.PubMed

88.

Deflandre E, Bonhomme V, Hans P. Delta down compared with delta pulse pressure as an indicator of volaemia during intracranial surgery. Br J Anaesth. 2007;100:245–50.PubMed

89.

Coriat P, Vrillon M, Perel A, Baron JF, Le Bret F, Saada M, et al. A comparison of systolic blood pressure variations and echocardiographic estimates of end-diastolic left ventricular size in patients after aortic surgery. Anesth Analg. 1994;78:46–53.PubMed

90.

Magder S. How to use central venous pressure measurements. Curr Opin Crit Care. 2005;11:264–70.PubMed

91.

Kungys G, Rose DD, Fleming NW. Stroke volume variation during acute normovolemic hemodilution. Anesth Analg. 2009;109:1823–30.PubMed

92.

Pizov R, Eden A, Bystritski D, Kalina E, Tamir A, Gelman S. Hypotension during gradual blood loss: waveform variables response and absence of tachycardia. Br J Anaesth. 2012;109:911–8.PubMed

93.

Cannesson M, Le Manach Y, Hofer CK, Goarin JP, Lehot JJ, Vallet B, et al. Assessing the diagnostic accuracy of pulse pressure variations for the prediction of fluid responsiveness: a “gray zone” approach. Anesthesiology. 2011;115:231–41.PubMed

94.

Marik PE, Cavalazzi R, Vasu T. Stroke volume variations and fluid responsiveness. Crit Care Med. 2009;37:26–42. 7.

95.

Michard F, Boussat S, Chemla D, Anguel N, Mercat A, Lecarpentier Y, et al. Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med. 2000;162:134–8.PubMed

96.

Bloomstone J, Raghunathan K, McGee WT. Why the gray zone may shift within the fog. Anesthesiology. 2012;116:733–43.

97.

Hadian M, Severyn DA, Pinsky MR. The effects of vasoactive drugs on pulse pressure and stroke volume variation in postoperative ventilated patients. J Crit Care. 2011;26:328.PubMedCentralPubMed

98.

Monge Garcia MI, Gil Cano A, Garcia Romero M. Dynamic arterial elastance to predict arterial pressure response to volume loading in preload-dependent patients. Crit Care. 2011;15:R15.PubMedCentralPubMed

99.

Pinsky MR. Heart lung interactions during mechanical ventilation. Curr Opin Crit Care. 2012;18:256–60.PubMed

100.

Maguire S, Rinehart J, Vakharia S, Cannesson M. Respiratory variation in pulse pressure and plethysmographic waveforms. Anesth Analg. 2011;112:94–6.PubMed

101.

Guerin L, Monnet X, Teboul JL. Monitoring volume and fluid responsiveness: from static to dynamic indicators. Best Pract Res Clin Anaesthesiol. 2013;27:177–85.PubMed

102.

Marik PE, Lemson J. Fluid responsiveness: an evolution of our understanding. Br J Anaesth. 2014;112:620–2.

103.

Cavallaro F, Sandroni C, Marano C, La Torre G, Mannocci A, De Waure C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Intensive Care Med. 2010;36:1475–83.PubMed

104.

Singer M. Management of fluid balance: a European perspective. Curr Opin Anesthesiol. 2012;25:96–101.

105.

Finfer S, Liu B, Taylor C, Bellomo R, Billot L, Cook D, et al. Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care units. Crit Care. 2010;14:R185.PubMedCentralPubMed

106.

Estrada CA, Murugan R. Hydroxyethyl starch in severe sepsis: end of starch era? Crit Care. 2013;17:310.PubMedCentralPubMed

107.

Phillips DP, Kaynar AM, Kellum JA, Gomez H. Crystalloids vs. colloids: KO at the twelfth round? Crit Care. 2013;17:319.PubMedCentralPubMed

108.

McCluskey SA, Karkouti K, Wijeysundera D, Minkovich L, Tait G, Beattie WS. Hyperchloremia after noncardiac surgery is independently associated with increased morbidity and mortality: a propensity-matched cohort study. Anesth Analg. 2013;117:412–21.PubMed

109.

Chowdhury AH, Cox EF, Francis ST, Lobo DN. A randomized, controlled, double-blind crossover study on the effects of 2-L infusions of 0.9% saline and plasma-lyte® 148 on renal blood flow velocity and renal cortical tissue perfusion in healthy volunteers. Ann Surg. 2012;256:18–24.PubMed

110.

Yunos NM, Bellomo R, Hegarty C, Story D, Ho L, Bailey M. Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults. JAMA. 2012;308:1566–72.PubMed

111.

Brunkhorst FM, Engel C, Bloos F, Meier-Hellmann A, Ragaller M, Weiler N, et al. Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N Engl J Med. 2008;358:125–39.PubMed

112.

Perner A, Haase N, Guttormsen AB, Tenhunen J, Klemenzson G, Åneman A, et al. Hydroxyethyl starch 130/0.42 versus Ringer's acetate in severe sepsis. N Engl J Med. 2012;367:124–34.PubMed

113.

Myburgh JA, Finfer S, Bellomo R, Billot L, Cass A, Gattas D, et al. Hydroxyethyl starch or saline for fluid resuscitation in intensive care. N Engl J Med. 2012;367:1901–11.PubMed

114.

Haase N, Perner A, Hennings LI, Siegemund M, Lauridsen B, Wetterslev M, et al. Hydroxyethyl starch 130/0.38-0.45 versus crystalloid or albumin in patients with sepsis: systematic review with meta-analysis and trial sequential analysis. BMJ. 2013;346:f839.PubMedCentralPubMed

115.

Annane D, Siami S, Jaber S, Martin C, Elatrous S, Declère AD, et al. Effects of fluid resuscitation with colloids vs crystalloids on mortality in critically ill patients presenting with hypovolemic shock: the CRISTAL randomized trial. JAMA. 2013;310:1809–17.PubMed

116.

Caironi P, Tognoni G, Masson S, Fumagalli R, Persenti A, Romero M, et al. Albumin replacement in patients with severe sepsis or septic shock. N Engl J Med. 2014. doi: 10.1056/NEJMoa1305727.

117.

Lira A, Pinsky M. Choices in fluid type and volume during resuscitation: impact on patient outcomes. Ann Intensive Care. 2014;4:38.PubMedCentralPubMed

118.

Perel P, Roberts I, Kerk K. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev. 2013;2:CD000567.PubMed

119.

Chappell D, Jacob M, Hofmann-Kiefer K, Conzen P, Rehm M. A rational approach to perioperative fluid management. Anesthesiology. 2008;109:723–40.PubMed

120.

James BC, Savitz LA. How Intermountain trimmed health care costs through robust quality improvement efforts. Health Aff. 2011;30:1185–91.

121.

Loftus TJ, Stelton S, Efaw BW, Bloomstone J. A system-wide enhanced recovery program focusing on two key process steps reduces complications and readmissions in patients undergoing bowel surgery. J Healthcare Quality. 2014. doi:10.1111/jhq.12068.

122.

Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr. 2012;31:783–800.PubMed

123.

Lassen K, Soop M, Nygren J, Cox PB, Hendry PO, Spies C, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg. 2009;144:961–9.PubMed

124.

Miller TE, Thacker JK, White WD, Mantyh C, Migaly J, Jin J, et al. Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg. 2014;118:1052–61.PubMed

125.

Sucher JF, Moore FA, Todd SR, Sailors RM, McKinley BA. Computerized clinical decision support: a technology to implement and validate evidence based guidelines. J Trauma. 2008;64:520–37.PubMed

126.

McKinley BA, Moore LJ, Sucher JF, Todd SR, Turner KL, Valdivia A, et al. Computer protocol facilitates evidence-based care of sepsis in the surgical intensive care unit. J Trauma. 2011;70:1153–66.PubMed

127.

Kramer GC, Kinsky MP, Prough DS, Salinas J, Sondeen JL, Hazel-Scerbo ML, et al. Closed-loop control of fluid therapy for treatment of hypovolemia. J Trauma. 2008;64:S333–41.PubMed

128.

Rinehart J, Liu N, Alexander B, Cannesson M. Closed loop systems in anesthesia: is there a potential for closed loop fluid management and hemodynamic optimization? Anesth Analg. 2012;114:130–43.PubMed

129.

Rinehart J, Le Manach Y, Douiri H, Lee C, Lilot M, Le K, et al. First closed-loop goal directed fluid therapy during surgery: a pilot study. Ann Fr Anesth Reanim. 2014;33:e35–41.PubMed

130.

Zargar-Shoshtari K, Hill AG. Optimization of perioperative care for colonic surgery: a review of the evidence. ANZ J Surg. 2008;78:13–23.PubMed

131.

Giglio MT, Marucci M, Testini M, Brienza N. Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials. Br J Anaesth. 2009;103:637–46.PubMed

132.

Cecconi M, Corredor C, Arulkumaran N, Abuella G, Ball J, Grounds RM, et al. Clinical review: goal-directed therapy-what is the evidence in surgical patients? The effect on different risk groups. Crit Care. 2013;17:209.PubMedCentralPubMed

133.

Vincent JL, Rhodes A, Perel A, Martin G, Della Rocca G, Vallet B, et al. Clinical review: update on hemodynamic monitoring - a consensus of 16. Crit Care. 2011;15:229.PubMedCentralPubMed

134.

Pinsky MR, Payen D. Functional hemodynamic monitoring. Crit Care. 2005;9:566–72.PubMedCentralPubMed

135.

Bark BP, Persson J, Grände PO. Importance of the infusion rate for the plasma expanding effect of 5% albumin, 6% HES 130/0.4, 4% gelatin, and 0.9% NaCl in the septic rat. Crit Care Med. 2013;41:857–66.PubMed

136.

Ishihara H. Impact of fluid infusion rate on restoring plasma volume in sepsis. Crit Care Med. 2013;41:931–2.PubMed

137.

Kastrup M, Markewitz A, Spies C, Carl M, Erb J, Grosse J, et al. Current practice of hemodynamic monitoring and vasopressor and inotropic therapy in post-operative cardiac surgery patients in Germany: results from a postal survey. Acta Anaesthesiol Scand. 2007;51:347–58.PubMed

138.

Monnet X, Teboul J-L. Volume responsiveness. Curr Opinion Crit Care. 2007;13:549–53.

139.

Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134:172–8.PubMed

140.

Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013;41:1774–81.PubMed

141.

Tavernier B, Makhotine O, Lebuffe G, Dupont J, Scherpereel P. Systolic pressure variation as a guide to fluid therapy in patients with sepsis-induced hypotension. Anesthesiology. 1998;89:1313–21.PubMed

142.

Perel A. Assessing fluid responsiveness by the systolic pressure variation in mechanically ventilated patients. Anesthesiology. 1998;89:1309–10.PubMed

143.

Shoemaker WC, Appel P, Bland R. Use of physiologic monitoring to predict outcome and to assist in clinical decisions in critically ill postoperative patients. Am J Surg. 1983;146:43–50.PubMed

144.

Kirov MY, Kuzkov VV, Molnar Z. Perioperative haemodynamic therapy. Curr Opin Crit Care. 2010;16:384–92.PubMed

145.

Wilms H, Mittal A, Haydock MD, van den Heever M, Devaud M, Windsor JA. A systematic review of goal directed fluid therapy: rating of evidence for goals and monitoring methods. J Crit Care. 2014;29:204–9.PubMed

146.

Cherpanath TGV, Geerts BF, Lagrand WK, Schultz MJ, Groeneveld ABJ. Basic concepts of fluid responsiveness. Neth Hearth J. 2013;21:530–6.

147.

Cecconi M, Parsons KA, Rodhes A. What is a fluid challenge? Curr Opin Crit Care. 2011;17:290–5.PubMed

148.

Marik PE, Monnet X, Teboul JL. Hemodynamic parameters to guide fluid therapy. Ann Crit Care. 2011;1:1.

149.

Norberg A, Hahn RG, Li H, Olsson J, Prough DS, Børsheim E, et al. Population volume kinetics predicts retention of 0.9% saline infused in awake and isoflurane-anesthetized volunteers. Anesthesiology. 2007;107:24–32.PubMed

150.

Curry FR. Atrial natriuretic peptide: an essential physiological regulator of transvascular fluid, protein transport, and plasma volume. J Clin Invest. 2005;115:1458–61.PubMedCentralPubMed

151.

Guyton AC, Hall JE. Textbook of medical physiology. 9th ed. Philadelphia: W.B. Sauders; 1996. p. 123–8.

152.

Convertino VA. Blood volume response to physical activity and inactivity. Am J Med Sci. 2007;334:72–9.PubMed

153.

Iijima T, Iwao Y, Sankawa H. Circulating blood volume measured by pulse dye-densitometry: comparison with 131I-HAS analysis. Anesthesiology. 1998;89:1329–35.PubMed

154.

Iijima T, Brandstrup B, Rodhe P, Andrijauskas A, Svensen CH. The maintenance and monitoring of perioperative blood volume. Perioper Med. 2013;2:9.

155.

Jacob M, Chappell D, Rehm M. The “third space” - fact or fiction? Best Pract Res Clin Anaesthesiol. 2009;23:145–57.PubMed

156.

Lamke LO, Nilsson GE, Reithner HL. Water loss by evaporation from the abdominal cavity during surgery. Acta Chir Scand. 1977;143:279–84.PubMed

157.

Jackson R, Reid JA, Thorburn J. Volume preloading is not essential to prevent spinal-induced hypotension at caesarean section. Br J Anaesth. 1995;75:262–5.PubMed

158.

Maharaj CH, Kallam SR, Malik A, Hassett P, Grady D, Laffey JG. Preoperative intravenous fluid therapy decreases postoperative nausea and pain in high risk patients. Anesth Analg. 2005;100:675–82.PubMed

159.

Lambert KG, Wakim JH, Lambert NE. Preoperative fluid bolus and reduction of postoperative nausea and vomiting in patients undergoing laparoscopic gynecologic surgery. AANAJ. 2009;77:110–4.

160.

Holte K, Klarskov B, Christensen DS, Lund C, Nielsen KG, Bie P, et al. Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg. 2004;240:892–9.PubMedCentralPubMed

161.

Tatara T, Nagao Y, Tashiro C. The effect of duration of surgery on fluid balance during abdominal surgery: a mathematical model. Anesth Analg. 2009;109:211–6.PubMed

162.

Fantone JC, Ward PA. Inflammation. In: Rubin E, Farber JL, editors. Pathology. 3rd ed. Philadelphia: Lippincott-Raven Publishers; 1999. p. 37–75.

Title: Perioperative fluid therapy: a statement from the international Fluid Optimization Group
Authors: Lais Helena Camacho Navarro
Joshua A Bloomstone
Jose Otavio Costa Auler Jr
Maxime Cannesson
Giorgio Della Rocca
Tong J Gan
Michael Kinsky
Sheldon Magder
Timothy E Miller
Monty Mythen
Azriel Perel
Daniel A Reuter
Michael R Pinsky
George C Kramer
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Perioperative Medicine / Issue 1/2015
Electronic ISSN: 2047-0525
DOI: https://doi.org/10.1186/s13741-015-0014-z

At a glance: The STEP trials

Springer Medicine

Perioperative fluid therapy: a statement from the international Fluid Optimization Group

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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