[Transesophageal echocardiography to monitor fluid administration during the perioperative period].
BACKGROUND
During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements.


OBJECTIVE
To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters.


METHODS
Twenty-four patients subjected to colon resection were randomized to monitoring by electrocardiography, blood and central venous pressure, or by transesophageal echocardiography. In the latter, volume administration was adjusted to maintain basal values of left ventricular end diastolic volume and cardiac index.


RESULTS
Patients with the standard monitoring system and transesophageal echocardiographic monitoring received 21.1 ± 12 and 6.3 ± 2 ml/kg/h of fluids during the perioperative period, respectively (p < 0.01).


CONCLUSIONS
The use of transesophageal echocardiography significantly reduced the perioperative fluid administration.
División de Anestesiología, Hospital Clínico, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Mario
M
Concha P
Verónica
V
Mertz K
Luis
L
Cortínez F
Alvaro
A
Zúñiga D
George
G
Pinedo M
D001810:Blood Volume; D003082:Colectomy; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007552:Isotonic Solutions / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D059035:Perioperative Period; D011446:Prospective Studies; D000077325:Ringer's Lactate; D016277:Ventricular Function, Left / Q000502:physiology
D007552:Isotonic Solutions; D000077325:Ringer's Lactate