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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorColomina, Maria Jose
dc.contributor.authorRipollés‑Melchor, Javier
dc.contributor.authorGuilabert Sanz, Patricia
dc.contributor.authorJover Pinillos, Jose Luis
dc.contributor.authorBasora, M.
dc.contributor.authorCassinello, Concepción
dc.date.accessioned2022-05-31T08:23:18Z
dc.date.available2022-05-31T08:23:18Z
dc.date.issued2021-12-13
dc.identifier.citationColomina MJ, Ripollés-Melchor J, Guilabert P, Jover JL, Basora M, Cassinello C, et al. Observational study on fluid therapy management in surgical adult patients. BMC Anesthesiol. 2021 Dec 13;21:316.
dc.identifier.issn1471-2253
dc.identifier.urihttp://hdl.handle.net/11351/7597
dc.descriptionFluid therapy management; Hemodynamic monitoring; Surgical procedures
dc.description.abstractBackground Perioperative fluid therapy management is changing due to the incorporation of different fluids, surgical techniques, and minimally invasive monitoring systems. The objective of this study was to explore fluid therapy management during the perioperative period in our country. Methods We designed the Fluid Day study as a cross-sectional, multicentre, observational study. The study was performed in 131 Spanish hospitals in February 2019. We included adult patients undergoing general anaesthesia for either elective or non-elective surgery. Demographic variables were recorded, as well as the type and total volume of fluid administered during the perioperative period and the monitorization used. To perform the analysis, patients were categorized by risk group. Results We recruited 7291 patients, 6314 of which were included in the analysis; 1541 (24.4%) patients underwent high-risk surgery, 1497 (23. 7%) were high risk patients, and 554 (8.7%) were high-risk patients and underwent high-risk surgery; 98% patients received crystalloids (80% balanced solutions); intraoperative colloids were used in 466 patients (7.51%). The hourly intraoperative volume in mL/kg/h and the median [Q1; Q3] administered volume (mL/kg) were, respectively, 6.67 [3.83; 8.17] ml/Kg/h and 13.9 [9.52;5.20] ml/Kg in low-risk patients undergoing low- or intermediate-risk surgery, 6 [4.04; 9.08] ml/Kg/h and 15.7 [10.4;24.5] ml/Kg in high- risk patients undergoing low or intermediate-risk surgery, 6.41 [4.36; 9.33] ml/Kg/h and 20.2 [13.3;32.4] ml/Kg in low-risk patients undergoing high-risk surgery, and 5.46 [3.83; 8.17] ml/Kg/h and 22.7[14.1;40.9] ml/Kg in high-risk patients undergoing high- risk surgery . We used advanced fluid monitoring strategies in 5% of patients in the intraoperative period and in 10% in the postoperative period. Conclusions The most widely used fluid was balanced crystalloids. Colloids were used in a small number of patients. Hourly surgery volume tended to be more restrictive in high-risk patients but confirms a high degree of variation in the perioperatively administered volume. Scarce monitorization was observed in fluid therapy management.
dc.language.isoeng
dc.publisherBMC
dc.relation.ispartofseriesBMC Anesthesiology;21
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectAnestesiologia
dc.subjectFluidoteràpia
dc.subjectTerapèutica quirúrgica
dc.subject.meshFluid Therapy
dc.subject.meshPerioperative Care
dc.subject.meshAnesthesiology
dc.titleObservational study on fluid therapy management in surgical adult patients
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1186/s12871-021-01518-z
dc.subject.decsfluidoterapia
dc.subject.decsasistencia periquirúrgica
dc.subject.decsanestesiología
dc.relation.publishversionhttps://doi.org/10.1186/s12871-021-01518-z
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Colomina MJ] Department of Anesthesia, Critical care and Pain Clinic, Hospital Universitari de Bellvitge, Barcelona, Spain. Barcelona University, Barcelona, Spain. Bellvitge Research Institute, IDIBELL, Barcelona, Spain. [Ripollés-Melchor J] Department of Anaesthesia, Hospital Universitario Infanta Leonor, Madrid, Spain. [Guilabert P] Servei d’Anestèsia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Jover JL] Department of Anaesthesia, Hospital Verge dels Lliris, Alcoi, Alicante, Spain. [Basora M] Department of Anaesthesia, Hospital Clínic, Barcelona, Spain. [Cassinello C] Department of Anaesthesia, Hospital Universitario Miguel Servet, Zaragoza, Spain
dc.identifier.pmid34903176
dc.identifier.wos000729770200001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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