Key result
An intraoperative infusion of 20% human albumin significantly reduced the requirement for intravenous fluids compared to plasmalyte (3.92 vs 5.03 mL/kg/h; P<0.001) during open GI cancer surgery.
Why the study?
The optimal strategy for intraoperative fluid management in patients undergoing major abdominal oncosurgery remains undecided.
Does 20% human albumin reduce the intraoperative requirement for intravenous fluids in patients undergoing open gastrointestinal cancer surgeries?
RCT (n=40)
double-blinded
randomised
No
Does 20% human albumin reduce the intraoperative requirement for intravenous fluids in patients undergoing open gastrointestinal cancer surgeries?
Absolute Event Rate: 3.92% vs 5.03%
p-value: p=<0.001
Infusion of 100 mL of 20% human albumin over 4 hours significantly reduces the requirement for intravenous fluids and vasopressors during open GI cancer surgery.
May support restrictive fluid management in open GI cancer surgery; adds RCT data on intraoperative albumin versus crystalloid.
Background and Aims: The optimal strategy for intraoperative fluid management in patients undergoing major abdominal oncosurgery remains undecided. The present study was undertaken to determine the effect of 20% intravenous (IV) albumin on the requirement of IV fluids (IVFs) during open gastrointestinal (GI) cancer surgeries. Methods: This randomised, double-blinded, controlled trial was conducted in a tertiary care centre from August to October 2022 after obtaining approval from the institutional ethics committee and informed written consent from the study subjects. Forty patients were randomised to either Group A ( n = 20), receiving an IV infusion of 25 mL/h of 20% albumin, or Group C ( n = 20), receiving an IV infusion of 25 mL/h of plasmalyte for 4 h (total 100 mL). Fluid and vasopressor administration was guided by systemic and pulse pressure variations. The primary outcome was the intraoperative requirement for IVF in the two study groups. The secondary outcomes included intraoperative IV vasopressor requirement, serum lactate levels, incidence of post-operative complications and length of hospital stay. Results: After the exclusion of three patients due to intraoperative bleeding, 37 patients were included in the final analysis. Patients in Group A ( n = 19) required less IVF (3.92 ± 0.54 mL/kg/h) as compared to Group C ( n = 18) (5.03 ± 1.20 mL/kg/h) ( P < 0.001). Four patients (22%) in Group C required intraoperative noradrenaline IV infusion ( P = 0.040). There was no significant difference between the two groups, regarding the mean intraoperative serum lactate values, incidence of post-operative complications and mean length of hospital stay ( P > 0.05). Conclusions: A 100 mL of 20% human albumin as an IV infusion over 4 h reduced the requirement of IV fluid and vasopressor intraoperatively in patients undergoing open GI cancer surgery.
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Gurajala et al. (2024) conducted an RCT in open gastrointestinal cancer surgeries (n=40). 20% human albumin vs. plasmalyte was evaluated on intraoperative requirement for IVF (p=<0.001). An intraoperative infusion of 20% human albumin significantly reduced the requirement for intravenous fluids compared to plasmalyte (3.92 vs 5.03 mL/kg/h; P<0.001) during open GI cancer surgery.
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