scholarly journals Tight control of fluid balance may reduce incidence of intra-abdominal hypertension in patients after major abdominal surgery and trauma: a pilot study

Critical Care ◽  
2012 ◽  
Vol 16 (S1) ◽  
Author(s):  
P Szturz ◽  
J Maca ◽  
J Neiser ◽  
J Jahoda ◽  
R Kula ◽  
...  
Keyword(s):  
Pilot Study ◽  
Abdominal Surgery ◽  
Fluid Balance ◽  
Major Abdominal Surgery ◽  
Tight Control ◽  
Abdominal Hypertension

scholarly journals The influence of fluid balance on intra-abdominal pressure after major abdominal surgery

Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 421 ◽  
Author(s):  
Mindaugas Šerpytis ◽  
Juozas Ivaškevičius
Keyword(s):  
Intensive Care Unit ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Abdominal Surgery ◽  
Fluid Balance ◽  
Systemic Inflammatory Response ◽  
Major Abdominal Surgery ◽  
Intraabdominal Pressure ◽  
Abdominal Pressure ◽  
Abdominal Hypertension

Objective. The objectives of this study were to determine the incidence of intraabdominal hypertension in patients after major abdominal surgery and to evaluate the correlation of intra-abdominal pressure with fluid balance and systemic inflammatory response syndrome. Material and methods. This is a prospective observational study. Patients, admitted to intensive care unit after major abdominal surgery, were included into the study. Intra-abdominal pressure was measured via a urinary bladder catheter twice daily. Twenty-four-hour fluid balance and systemic inflammatory response syndrome criteria met by the patients were collected daily. Results. Seventy-seven patients were included into the study. Intra-abdominal hypertension was diagnosed in about 40% of the patients in the early postoperative period. The study showed a significant positive correlation between 24-hour fluid balance and daily changes in intraabdominal pressure. A significant association was also seen between the number of positive systemic inflammatory response syndrome criteria and intra-abdominal pressure, and intraabdominal pressure was significantly higher in patients with systemic inflammatory response syndrome. Besides, patients with intra-abdominal hypertension on the first postoperative day had longer length of stay in the intensive care unit. Conclusions. Intra-abdominal hypertension occurs commonly in patients after major abdominal surgery, and patients with positive 24-hour fluid balance and/or systemic inflammatory response syndrome are at risk of having higher intra-abdominal hypertensio

Association Between Perioperative Fluid Balance and 30-Day Unplanned Readmission After Major Abdominal Surgery

2019 ◽  
Vol 26 (4) ◽  
pp. 401-407
Author(s):  
Tak Kyu Oh ◽  
Ah-Young Oh ◽  
Jung-Won Hwang
Keyword(s):  
Confidence Interval ◽  
Abdominal Surgery ◽  
Fluid Balance ◽  
Odds Ratio ◽  
Readmission Rate ◽  
Major Abdominal Surgery ◽  
Unplanned Readmission ◽  
Academic Hospital ◽  
Relative Value ◽  
Duration Of Surgery

Perioperative positive fluid balance (FB) increases postoperative complication and length of hospital stay. We aimed to investigate 30-day unplanned readmission after major abdominal surgery based on perioperative FB (%) on postoperative days (POD) 0 to 3. This retrospective cohort study analyzed medical records of patients who underwent elective major abdominal surgery (surgery time >2 hours, estimated blood loss >500 mL) at a single tertiary academic hospital from January 2010 to December 2017. Cumulative FB was calculated by total input fluid − output fluid in liters × weight (kg)−1 on admission × 100 during POD 0 (24 hours), 0 to 1 (48 hours), 0 to 2 (72 hours), and 0 to 3 (96 hours). Of the 3650 patients in the final analysis, 503 (13.8%) had unplanned readmission within 30 days. In the multivariable logistic regression analysis, FB on POD 0 (24 hours), 0 to 1 (48 hours), 0 to 2 (72 hours), and 0 to 3 (96 hours) showed no significant association with 30-day unplanned readmission (all P > .05). However, an increase of 10 000 points in the total relative value unit scores was associated with 5% increase in 30-day unplanned readmission (odds ratio = 1.05, 95% confidence interval = 1.02-1.07; P = .001), and 1-hour increase in surgery time was associated with 10% increase in 30-day unplanned readmission (odds ratio = 1.10, 95% confidence interval = 1.05-1.15; P < .001). This study showed that perioperative FB is not associated with 30-day unplanned readmission rate after a major abdominal surgery. Total relative value unit scores and duration of surgery were significantly associated with 30-day unplanned readmission rate after major abdominal surgery in a single tertiary academic hospital.

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