头颈部癌症游离皮瓣手术中的目标导向性液体管理。
Goal-directed fluid management in free flap surgery for cancer of the head and neck.
机构信息
Department of Anesthesia, Oulu University Hospital, Oulu, Finland -
Medical Research Centre and Research Group of Surgery, Anesthesia and Intensive Care, University of Oulu and Oulu University Hospital, Oulu, Finland -
出版信息
Minerva Anestesiol. 2017 Jan;83(1):59-68. doi: 10.23736/S0375-9393.16.11451-8. Epub 2016 Oct 19.
BACKGROUND
Goal-directed fluid management using stroke volume variation (SVV) analysis is not well studied in free flap reconstruction surgery in patients with head and neck cancer.
METHODS
Patients operated due to cancer of the head and neck with free flap reconstruction during 2008-2010 and 2012-2014 in Oulu University Hospital were retrospectively evaluated to determine the impact of SVV-guided fluid management on perioperative fluid balance, postoperative complications and hospital length of stay (LOS).
RESULTS
A total of 104 patients were included in the study and in 48 of them SVV was used to guide intraoperative fluid management. The SVV-guided fluid management led to significant reduction in intraoperative fluid load (6070 mL vs. 8185 mL) and hospital length of stay (11.5 vs. 14.0 days). There was no difference in the number of postoperative complications between the groups.
CONCLUSIONS
The SVV-guided fluid management reduces fluid administration in free flap reconstruction surgery with head and neck cancer.
背景
在头颈部癌症患者的游离皮瓣重建手术中，使用每搏变异度（SVV）分析的目标导向液体管理尚未得到充分研究。
方法
回顾性评估了 2008-2010 年和 2012-2014 年在奥卢大学医院因头颈部癌症接受游离皮瓣重建手术的患者，以确定 SVV 指导的液体管理对围手术期液体平衡、术后并发症和住院时间（LOS）的影响。
结果
共有 104 例患者纳入研究，其中 48 例患者使用 SVV 指导术中液体管理。SVV 指导的液体管理可显著减少术中液体负荷（6070 毫升比 8185 毫升）和住院时间（11.5 天比 14.0 天）。两组术后并发症的数量无差异。
结论
SVV 指导的液体管理可减少头颈部癌症游离皮瓣重建手术中的液体输注。
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