[Intraoperative fluid administration and severity of the clinical condition].
Fluid overload has been recently suggested to influence morbidity. The aim of this study was to investigate the relationship between the amount of fluid given in the operative room and the severity of illness, which is known to be different in scheduled and emergency surgery. We prospectively studied 78 surgical patients consecutively admitted to our Intensive Care Unit (ICU). We collected the following information: age and weight of the patient, amount of crystalloids, colloids and blood given in the operative room, length of the surgical procedure, SAPS, APACHE II, serum albumin, IUC length of stay, ICU and hospital mortality rate. The anaesthetist, who was responsible for the clinical decision in the operative room, was unaware of the study. The patients were divided in two groups: ELE, 59 patients admitted to ICU after scheduled surgery, and URG, 19 patients admitted after emergency surgery. Age, weight, number of patients operated on abdomen, length of surgical procedure were similar in both groups, but also the amount of fluid given in the operative room were the same (crystalloids 10.1 +/- 4.3 ml/kg/h in ELE vs 10.7 +/- 3.9 ml/kg/h in URG and total amount of fluid 12.1 +/- 5.5 ml/kg/h in ELE vs 14.5 +/- 5.7 ml/kg/h in URG).(ABSTRACT TRUNCATED AT 250 WORDS)
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Istituto di Anestesiologia e Rianimazione, Università degli Studi di Ferrara.
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Alvisi
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Righini
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E
D000368:Aged; D000369:Aged, 80 and over; D016638:Critical Illness; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012720:Severity of Illness Index
Apporto intraoperatorio di fluidi e gravità delle condizioni cliniche.