Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome

Hdl Handle:
http://hdl.handle.net/10147/317050
Title:
Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome
Authors:
McKenny, M; O’Malley, C; Mehigan, B; McCormick, P; Dowd, N
Citation:
McKenny M et al. Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome. Ir Med J 2014 May 107(5)
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
May-2014
URI:
http://hdl.handle.net/10147/317050
Abstract:
Morbidity after colorectal surgery can be reduced with intraoperative oesophageal Doppler monitor (ODM) guided fluid therapy. We audited the effect of introducing ODM-guided fluid therapy in enhanced recovery laparoscopic colorectal surgery. ODM group (n=40) outcomes (toleration of diet, Post Operative Morbidity Survery (POMS) score, complications) were compared to matched patients (n=40) who had the same surgery using a conventional approach to fluid management. Mean (SD) time to tolerate diet was shorter in the ODM group (2.3 (1.6) days vs 3.8 (2.4) days, p = 0.003). The ODM group had a lower mean (SD) POMS score on post-operative day 1 (2 (1.4) vs 4 (1.1), p = 0.001), fewer postoperative complications (14 patients vs 20, p=0.009) and a lower rate of unplanned critical care area admission (1 vs 6, p= 0.001). Introduction of intraoperative ODM-guided stroke volume optimization was associated with improved outcomes in patients undergoing enhanced recovery laparoscopic colorectal surgery.
Item Type:
Article
Language:
en
Keywords:
SURGERY; DIGESTIVE TRACT DISEASES
Local subject classification:
DIGESTIVE SYSTEM

Full metadata record

DC FieldValue Language
dc.contributor.authorMcKenny, Men_GB
dc.contributor.authorO’Malley, Cen_GB
dc.contributor.authorMehigan, Ben_GB
dc.contributor.authorMcCormick, Pen_GB
dc.contributor.authorDowd, Nen_GB
dc.date.accessioned2014-05-16T10:45:40Z-
dc.date.available2014-05-16T10:45:40Z-
dc.date.issued2014-05-
dc.identifier.citationMcKenny M et al. Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome. Ir Med J 2014 May 107(5)en_GB
dc.identifier.urihttp://hdl.handle.net/10147/317050-
dc.description.abstractMorbidity after colorectal surgery can be reduced with intraoperative oesophageal Doppler monitor (ODM) guided fluid therapy. We audited the effect of introducing ODM-guided fluid therapy in enhanced recovery laparoscopic colorectal surgery. ODM group (n=40) outcomes (toleration of diet, Post Operative Morbidity Survery (POMS) score, complications) were compared to matched patients (n=40) who had the same surgery using a conventional approach to fluid management. Mean (SD) time to tolerate diet was shorter in the ODM group (2.3 (1.6) days vs 3.8 (2.4) days, p = 0.003). The ODM group had a lower mean (SD) POMS score on post-operative day 1 (2 (1.4) vs 4 (1.1), p = 0.001), fewer postoperative complications (14 patients vs 20, p=0.009) and a lower rate of unplanned critical care area admission (1 vs 6, p= 0.001). Introduction of intraoperative ODM-guided stroke volume optimization was associated with improved outcomes in patients undergoing enhanced recovery laparoscopic colorectal surgery.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectSURGERYen_GB
dc.subjectDIGESTIVE TRACT DISEASESen_GB
dc.subject.otherDIGESTIVE SYSTEMen_GB
dc.titleIntroduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcomeen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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