Open AccessFluid Challenge During Anesthesia: A Systematic Review and Meta-analysis
Author(s) -
Antonio Messina,
Corrado Pelaia,
Andrea Bruni,
Eugenio Garofalo,
Eleonora Bonicolini,
Federico Longhini,
Erica Dellara,
Laura Saderi,
Stefano Romagnoli,
Giovanni Sotgiu,
Maurizio Cecconi,
Paolo Navalesi
Publication year - 2018
Publication title -
anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003834
Subject(s) - medicine , hydroxyethyl starch , subgroup analysis , hemodynamics , intravascular volume status , oncotic pressure , anesthesia , meta analysis , stroke volume , surgery , albumin , blood pressure , heart rate
Assessing the volemic status of patients undergoing surgery is part of the routine management for the anesthesiologist. This assessment is commonly performed by means of dynamic indexes based on the cardiopulmonary interaction during mechanical ventilation (if available) or by administering a fluid challenge (FC). The FC is used during surgery to optimize predefined hemodynamic targets, the so-called Goal-Directed Therapy (GDT), or to correct hemodynamic instability (non-GDT).