Perioperative medicine & outcomes
Perioperative changes in fluid distribution and haemodynamics in acute high-risk abdominal surgery
Authors' conclusion
Despite increased fluid balance and extracellular volumes, preload dependency increased progressively during the post-operative period.
Study context
- Population
- Patients undergoing surgery for intestinal obstruction, perforated viscus, and anastomotic leakage (acute high-risk abdominal surgery)
- Participants
- 73 patients
- Outcome
- Fluid distribution, hydration status and preload dependency, 0 to 120 h
- Follow-up
- 0 to 120 h
Methodological detailsintraoperative goal-directed therapy
- Intraoperative goal-directed therapy
Main finding
As reported in the abstract
Post-operative overhydration (BIA)
36%
Overhydration on the 5th post-operative day
50%
Preload dependency immediately post-operatively
12%
Preload dependency on the 5th post-operative day
58%
Observational data: associations, not effects.
Original publication
Perioperative changes in fluid distribution and haemodynamics in acute high-risk abdominal surgery. Crit Care. Published 16 January 2023. doi:10.
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