Key result
More aberrant cardiac index values on postoperative FloTrac monitoring linked to anastomotic leakage after esophagectomy.
Why the study?
Anastomotic leakage after esophagectomy is linked to severe complications, but its early prediction remains difficult.
Do postoperative hemodynamic changes measured by the FloTrac system predict anastomotic leakage in patients undergoing esophagectomy for esophageal cancer?
Observational (n=39)
No
Do postoperative hemodynamic changes measured by the FloTrac system predict anastomotic leakage in patients undergoing esophagectomy for esophageal cancer?
Postoperative hemodynamic monitoring using the FloTrac system may help predict anastomotic leakage after esophagectomy.
Answers are grounded in this paper and cite their sources.
May flag anastomotic leakage risk via FloTrac monitoring after esophagectomy; hypothesis-generating and requires prospective validation before practice change.
Background : Anastomotic leakage after esophagectomy is significantly associated with more severe complications, such as sepsis and mortality. Early prediction for anastomotic leakage is usually difficult and needs to be treated rapidly. In the current study, we investigated the correlation between hemodynamic and several complications after esophagectomy in patients with esophageal cancer, using the FloTrac system. Materials and Methods : Between April 2013 and December 2014, 39 patients with a mean age of 66.6 ± 8.9 years underwent postoperative supervision using the FloTrac sensor / Vigileo monitoring system after curative surgery for esophageal cancer. We retrospectively evaluated the association between the number of aberrant cardiac index (CI) along with stroke volume variability (SVV) values and clinicopathological parameters of postoperative complications in this report. Results : There were significant positive correlations between the number of aberrant values of CI along with SVV and depth of invasion during pathological stage. Concerning major postoperative complications, there was a significant positive correlation between the number of aberrant values of CI and anastomotic leakage. Discussion: The hemodynamic change by employing the FloTrac system could predicts the complication of anastomotic leakage after esophagectomy. Adequate management of hemodynamic stability by utilizing it will reduce the complications of anastomotic leakage. J. Med. Invest. 67 : 240-245, August, 2020.
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Sohda et al. (2020) conducted an observational in Esophageal cancer (n=39). Aberrant cardiac index (CI) and stroke volume variability (SVV) was evaluated on Correlation between the number of aberrant values of cardiac index (CI) and anastomotic leakage (p=<0.05). The number of aberrant values of cardiac index measured by the FloTrac system during the postoperative ICU stay was significantly positively correlated with the occurrence of anastomotic leakage after esophagectomy.
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