
Goal-directed therapy with bolus albumin 5% is not superior to bolus ringer acetate in maintaining systemic and mesenteric oxygen delivery in major upper abdominal surgery
Author(s) -
Jannie Bisgaard,
Rasmus Bødker Madsen,
Lene L Dybdal,
Jørgen Lauridsen,
Michael Bau Mortensen,
Anders Gadegaard Jensen
Publication year - 2020
Publication title -
european journal of anaesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.445
H-Index - 76
eISSN - 1365-2346
pISSN - 0265-0215
DOI - 10.1097/eja.0000000000001151
Subject(s) - medicine , bolus (digestion) , anesthesia , abdominal surgery , cardiac index , surgery , randomized controlled trial , hemodynamics , cardiac output
Goal-directed therapy (GDT) is increasingly used in abdominal surgery. Whether crystalloids can exert the same effect as colloid, and how this may affect perfusion, is still unclear. The effect of GDT on the systemic oxygen delivery index (sDO2I) and the mesenteric oxygen delivery index (mDO2I) can be quantified by measuring cardiac index and flow in the superior mesenteric artery, respectively.