AI Article Synopsis
- The study assesses the effects of fluid intake during gastrectomy for cancer, analyzing data from several hospitals.
- A total of 205 patients were reviewed, primarily undergoing major surgeries, with significant variability in the amount of fluids administered.
- Findings indicate that patients receiving less than 10 ml of total fluid per minute during surgery faced an increased risk of complications, highlighting the importance of proper fluid management in such procedures.
Article Abstract
Background: This study evaluates the short-term impact of fluid administration during gastrectomy for cancer.
Methods: A multi-institutional database of patients undergoing gastrectomy for cancer from three tertiary centers was reviewed. Logistic and linear regression analyses were performed.
Results: 205 patients were included. The majority of patients (n = 116, 57%) underwent proximal or total gastrectomy. Median anesthesia time was 280 min (range 95-691 min). Median intraoperative crystalloid administration was 2901 ml (range 500-10,700 ml). Median colloid administration was 0 (range 0-3835 ml), although only 66 patients (32%) received colloid. On multivariate analysis, patients who received <10.0 ml total fluid per minute of anesthesia had a significantly higher risk of complications (OR 4.12, p = 0.010). Crystalloid and total fluid administration ratios did not significantly affect LOS or discharge disposition.
Conclusions: Restricting intra-operative fluid resuscitation to <10 ml total fluid per minute anesthesia is associated with an increased risk of complications in patients undergoing gastrectomy for cancer.
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| http://dx.doi.org/10.1016/j.ijsu.2016.07.006 | DOI Listing |
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