Stroke Volume Variation-guided Fluid Infusion in Major Liver Tumour Resection
Study Details
Study Description
Brief Summary
Studies have demonstrated that the rate of change in stroke volume variation (SVV) can be used to determine the volume of body fluids during major abdominal surgery. Anaesthesiologists can use SVV as a guide for the appropriate administration of intraoperative fluids to improve postoperative prognoses. Liver surgery is a major abdominal operation, and the amount of blood lost is typically higher than that during other general abdominal surgeries. Blood loss is positively correlated with the intraoperative fluid infusion volume, and greater blood loss is associated with more postoperative complications. Additionally, comorbid liver disease or cirrhosis can increase the complexity of liver tumour resection, causing difficulty in assessing intravascular volume and determining the appropriate intraoperative infusion volume.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: the low-SVV group the value of stroke volume variation will be less than or equal to 10 this group |
Procedure: SVV-guided fluid management
fluid will be guided by value of stroke volume variation
|
Active Comparator: the high-SVV group the value of stroke volume variation will be higher than 10 this group |
Procedure: SVV-guided fluid management
fluid will be guided by value of stroke volume variation
|
Outcome Measures
Primary Outcome Measures
- The incidence of postoperative complications in the two groups. [From day 1 to day 30 after surgery.]
calculate the incidence of postoperative complication within 30 days
Secondary Outcome Measures
- The differences of perioperative ALT [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative eGFR [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative creatinine [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative T.bil [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative Hb [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative arterial lactate [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The differences of perioperative albumin [Examination report on the 1st postoperative day.]
Calculate the difference of the perioperative physiological variables
- The pain scale [up to three days postoperatively]
Assessment of postoperative pain scale
Eligibility Criteria
Criteria
Inclusion Criteria:
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We initially selected 118 patients who required hepatectomy.
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The physiological status of the patients was assessed in terms of American Society of Anesthesiologists scores I-III
Exclusion Criteria:
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Extreme body mass index (BMI)
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Age under 20 or over 75 years
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Emergency surgery
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Preexisting cardiac, hepatic, renal, or coagulation disorder; hyperthyroidism; and sinus arrhythmia.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Kaohsiung Veterans General Hospital | Kaohsiung | Taiwan | 81362 |
Sponsors and Collaborators
- Kaohsiung Veterans General Hospital.
Investigators
- Principal Investigator: Yuan-Yi Chia, Director, Kaohsiung Veterans General Hospital.
- Study Director: Kai-Wei Hsieh, physician, Kaohsiung Veterans General Hospital.
- Study Chair: We-Yu Chen, physician, Kaohsiung Veterans General Hospital.
Study Documents (Full-Text)
None provided.More Information
Publications
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- VGHKS16-CT8-25