Outcome impact of individualized fluid management during spine surgery: a before-after prospective comparison study.

ABSTRACT:

Background

Individualized fluid management (IFM) has been shown to be useful to improve the postoperative outcome of patients undergoing major abdominal surgery. A limited number of clinical studies have been done in orthopaedic patients and have yielded conflicting results. We designed the present study to investigate the clinical impact of IFM in patients undergoing major spine surgery.

Methods

This is a before-after study done in 300 patients undergoing posterior spine arthrodesis. Postoperative outcomes were compared between control group implementing standard fluid management (n = 150) and IFM group (n = 150) guided by fluid protocol based on continuous stroke volume monitoring and optimization. The primary outcome measure was the proportion of patients who developed on

SUBMITTER: Che L 

PROVIDER: S-EPMC7376681 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature