Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome
| dc.contributor.author | McKenny, M | |
| dc.contributor.author | O’Malley, C | |
| dc.contributor.author | Mehigan, B | |
| dc.contributor.author | McCormick, P | |
| dc.contributor.author | Dowd, N | |
| dc.date.accessioned | 2014-05-16T10:45:40Z | |
| dc.date.available | 2014-05-16T10:45:40Z | |
| dc.date.issued | 2014-05 | |
| dc.identifier.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) | en_GB |
| dc.identifier.uri | http://hdl.handle.net/10147/317050 | |
| dc.description.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. | |
| dc.language.iso | en | en |
| dc.publisher | Irish Medical Journal | en_GB |
| dc.subject | SURGERY | en_GB |
| dc.subject | DIGESTIVE TRACT DISEASES | en_GB |
| dc.subject.other | DIGESTIVE SYSTEM | en_GB |
| dc.title | Introduction of oesophageal doppler-guided fluid management in a laparoscopic colorectal surgery enhanced recovery programme: An audit of effect on patient outcome | en_GB |
| dc.type | Article | en |
| dc.identifier.journal | Irish Medical Journal | en_GB |
| dc.description.funding | No funding | en |
| dc.description.province | Leinster | en |
| dc.description.peer-review | peer-review | en |
| refterms.dateFOA | 2018-08-30T10:44:47Z | |
| html.description.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. |
