This study examines the effect of an algorithm for GDT for patients undergoing major surgery under routine conditions.
Goal directed fluid management in major abdominal surgery has been shown to reduce perioperative complications. The approach aims to optimize the intravascular fluid volume by use of minimally invasive devices which calculate flow-directed variables such as stroke volume (SV) and stroke volume variation (SVV). The investigators aim to show the feasibility of routinely implementing such hemodynamic monitoring during major abdominal surgery, and to evaluate its effects in terms of perioperative fluid management and postoperative outcomes.
Study Type
OBSERVATIONAL
Enrollment
300
University Hospital of Marburg, Department of Anesthesia
Marburg, Germany
Length of stay in hospital
Time frame: 90 days
intraoperative crystalloid volume
Time frame: 1 day
intraoperative colloid volume
Time frame: 1 day
Length of stay at ICU
Time frame: 90 days
Total amount of complications per patient
Time frame: 90 days
Insufficiance of bowel anastomosis
Time frame: 90 days
Pneumonia
Time frame: 90 days
ACS
Time frame: 90 days
acute renal failure
Time frame: 90 days
Sepsis
Time frame: 90 days
Intraabd. Infection
Time frame: 90 days
wound infection
Time frame: 90 days
UTI
Time frame: 90 days
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