Robot assisted urological procedures are often long surgical cases that can potentially result in complicated postoperative hospital course. The amount of intravenous (IV) fluids administered to patients during these operations fluctuates based on the length of the case, surgical blood loss, hemodynamic monitors, and the discretion of the anesthesiologist. The goal of intraoperative fluid therapy is to maintain optimal tissue perfusion without causing fluid overload. We plan to use a goal directed fluid therapy protocol to optimize fluid status and analyze post-operative outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Intraoperative fluids will be administer per the discretion of anesthesia provider and not per SVV data or study protocol.
FloTrac arterial line data will be used to administer fluid bolus, based on study algorithm.
Loma Linda University
Loma Linda, California, United States
Postoperative ileus
Time postoperatively to first bowel movement
Time frame: Up to 3 weeks postoperatively
Acute kidney injury
Will be measured using the KDIGO criteria (UOP and Cr)
Time frame: Up to 3 weeks postoperatively
Respiratory compromise
Patients that require oxygen or invasive/non-invasive mechanical ventilation postoperatively
Time frame: Up to 3 weeks postoperatively
Need for diuresis
Use of a diuretic medication (ex. lasix, metolazone)
Time frame: Up to 3 weeks postoperatively
Hospital length of stay
Duration of stay in the hospital
Time frame: Up to 4 weeks postoperatively
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