Key result
The abstract presents a review protocol to evaluate esophageal Doppler monitoring for goal-directed fluid therapy during major abdominal surgery, with no results reported.
Systematic Review
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Protocol for esophageal Doppler monitoring review published; leaves open whether goal-directed fluid therapy improves outcomes in major abdominal surgery.
REVIEW QUESTION/OBJECTIVE: The objectives of this review are to identify the effectiveness of esophageal Doppler monitoring (EDM) for goal-directed fluid therapy on postoperative outcomes during abdominal surgery when an enhanced recovery after surgery (ERAS) program is implemented.The specific question of this review is: does the guidance of fluid management by EDM versus fluid management without EDM affect the length of hospital stay, occurrence of postoperative infection, hemodynamic stability and 30-day postoperative complication rate in adult patients undergoing major abdominal surgery with ERAS or similar programs?
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Wuellner et al. (2016) conducted a systematic review in Major abdominal surgery with ERAS program. Esophageal Doppler monitoring (EDM) for goal-directed fluid therapy vs. Fluid management without EDM was evaluated on Length of hospital stay, occurrence of postoperative infection, hemodynamic stability and 30-day postoperative complication rate. The abstract presents a review protocol to evaluate esophageal Doppler monitoring for goal-directed fluid therapy during major abdominal surgery, with no results reported.
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