Department of Anesthesiology and Reanimation, University of Health Sciences, Konya City Hospital, Akabe Mahallesi, Adana Çevre Yolu, Cad. No:135/1, Karatay, 42020, Konya, Turkey.
J Robot Surg. 2024 Jun 20;18(1):258. doi: 10.1007/s11701-024-02025-2.
This study examined how different goal-directed fluid therapy types affected low blood pressure and fluid infusion during robot-assisted laparoscopic gynecological surgery. They used carotid corrected flow time (FTc) and tidal volume stimulation pulse pressure variation (VtPPV) to check the patient's volume status and responsiveness. The findings indicated that various fluid therapy targets significantly influence intraoperative hypotension and fluid requirements. However, the study exclusively employed unilateral carotid ultrasound assessments, potentially overlooking physiological or pathological variations in blood flow between the left and right carotid arteries. This methodological choice raises concerns as guidelines recommend bilateral measurements for a more comprehensive evaluation. The lack of bilateral assessments could affect the study's reliability and reproducibility. Justifying the unilateral measurement approach is essential for validating clinical findings. Future research should adopt bilateral carotid ultrasound assessments or provide a detailed rationale for unilateral measurements to enhance the robustness and accuracy of clinical evaluations.
本研究旨在探讨不同目标导向的液体治疗类型如何影响机器人辅助腹腔镜妇科手术中的低血压和液体输注。研究使用颈总动脉校正流量时间（FTc）和潮气量刺激脉搏压变异（VtPPV）来监测患者的容量状态和反应性。研究结果表明，不同的液体治疗目标显著影响术中低血压和液体需求。然而，该研究仅采用单侧颈动脉超声评估，可能忽略了左、右颈动脉之间血流的生理或病理变化。这种方法选择引起了关注，因为指南建议进行双侧测量以进行更全面的评估。缺乏双侧评估可能会影响研究的可靠性和可重复性。为了验证临床发现， justifies 单侧测量方法是必要的。未来的研究应采用双侧颈动脉超声评估或提供单侧测量的详细理由，以提高临床评估的稳健性和准确性。
