Key result
Intra-operative oesophageal Doppler-guided fluid administration did not shorten median postoperative hospital stay compared with conventional fluid therapy (6 vs 7 days, p=0.5).
Why the study?
Does intra-operative oesophageal Doppler-guided fluid administration reduce length of postoperative stay in patients undergoing major elective open gynaecological surgery?
Population
102 patients undergoing major elective open gynaecological surgery
Comparison
Intra-operative fluid management using an… vs Conventional fluid therapy based on conventional…
Design
RCT, randomly assigned, Evaluators who were blinded to patient assignment
Follow-up
until hospital discharge
Authors
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No hospital-stay benefit with Doppler-guided fluids in gynaecological surgery; supports conventional management and questions routine adoption.
RCT (n=102)
Single-blind (evaluators)
randomly assigned
No
Does intra-operative oesophageal Doppler-guided fluid administration reduce length of postoperative stay in patients undergoing major elective open gynaecological surgery?
Absolute Event Rate: 6% vs 7%
p-value: p=0.5
Intra-operative oesophageal Doppler-guided fluid therapy does not significantly reduce the length of postoperative hospital stay or morbidity in patients undergoing open gynaecological surgery.
McKenny et al. (2013) conducted an RCT in major elective open gynaecological surgery (n=102). intra-operative oesophageal Doppler-guided fluid administration vs. conventional fluid therapy was evaluated on length of postoperative stay (time to readiness for hospital discharge) (p=0.5). Intra-operative oesophageal Doppler-guided fluid administration did not shorten median postoperative hospital stay compared with conventional fluid therapy (6 vs 7 days, p=0.5).
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