Key result
Goal-directed fluid therapy based on NICOM significantly reduced moderate or severe postoperative complications within 30 days in elderly patients undergoing gastrointestinal tumor resection (P<0.05).
Why the study?
Does goal-directed fluid therapy based on noninvasive cardiac output monitoring reduce postoperative complications in elderly patients undergoing gastrointestinal tumor resection?
RCT (n=50)
randomly divided
No
Does goal-directed fluid therapy based on noninvasive cardiac output monitoring reduce postoperative complications in elderly patients undergoing gastrointestinal tumor resection?
p-value: p=<0.05
Goal-directed fluid therapy guided by noninvasive cardiac output monitoring may reduce 30-day postoperative complications in elderly patients undergoing gastrointestinal surgery.
NICOM-guided GDFT lowers complications after elderly GI tumor resection; confirms benefit of goal-directed strategies in this high-risk group.
OBJECTIVE: Goal-directed fluid therapy (GDFT) was associated with improved outcomes after surgery. Noninvasive Cardiac Output Monitoring (NICOM) has proved to be a good choice for guiding GDFT. This study evaluated the effect of GDFT based on NICOM on prognosis in elderly patients undergoing resection of gastrointestinal tumor. METHODS: Fifty patients scheduled for elective laparoscopic radical resection for stomach, colon or rectal cancer in Yongchuan Hospital of Chongqing Medical University between November 2014 and December 2015 were included and randomly divided into two groups: conventional fluid therapy (group C, n=25) and goal-directed fluid therapy (group G, n=25). The primary outcome was moderate or severe postoperative complications within 30 days. RESULTS: <0.05). CONCLUSIONS: Goal-directed fluid therapy based on NICOM was significantly associated with improvement of prognosis in elderly patients undergoing resection of gastrointestinal tumor which reduced postoperative complications.
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Yin et al. (2018) conducted an RCT in Gastrointestinal tumor (stomach, colon or rectal cancer) (n=50). Goal-directed fluid therapy based on Noninvasive Cardiac Output Monitoring (NICOM) vs. Conventional fluid therapy was evaluated on Moderate or severe postoperative complications within 30 days (p=<0.05). Goal-directed fluid therapy based on NICOM significantly reduced moderate or severe postoperative complications within 30 days in elderly patients undergoing gastrointestinal tumor resection (P<0.05).
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