Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov;26(11):2648-2653.
doi: 10.1007/s11695-016-2145-9.

Goal-Directed Fluid Therapy on Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients

José Luis Muñoz  1 , Tanya Gabaldón  2 , Elena Miranda  2 , Diana Lorena Berrio  2 , Jaime Ruiz-Tovar  2 , José María Ronda  2 , Nuria Esteve  2 , Antonio Arroyo  2 , Ana Pérez  2
Affiliations

Goal-Directed Fluid Therapy on Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients

José Luis Muñoz et al. Obes Surg. 2016 Nov.

Abstract

Background: In bariatric surgery, there are no guidelines available for intraoperative fluid administration. Goal-directed fluid therapy (GDFT) is a new concept of perioperative fluid management that has been shown to improve the prognosis of patients undergoing abdominal surgery. The aim of our study is to assess the impact of the implementation of a GDFT protocol in morbidly obese patients who underwent laparoscopic sleeve gastrectomy (LSG).

Methods: A before-after intervention study, in morbidly obese patients who underwent LSG, was conducted at the Obesity Unit of the General University Hospital Elche. Data from the GDFT implementation group (January 2014 to December 2015) were prospectively collected and compared with a preimplementation group (January 2012 to December 2013).

Results: Baseline demographic and comorbidity data between the two groups of patients were similar. The length of stay in the hospital was significantly shortened in GDFT group from 4.5 to 3.44 days (p < 0.001). Intraoperative fluid administration was significantly lower in the GDFT group (1002.4 vs 1687.2 ml in preimplementation group, p < 0.001). In the postoperative period, there was a statistically significant reduction in postoperative nausea and vomiting (PONV) after GDFT implementation (48 to 14.3 %, p < 0.001).

Conclusions: Implementation of GDFT protocols can prevent intraoperative fluid overload in patients undergoing bariatric surgery. It could improve outcomes, for example decreasing PONV or even hospital stay.

Keywords: Goal-directed fluid therapy; Sleeve gastrectomy.

PubMed Disclaimer

References

    1. Chest. 2008 Jul;134(1):172-8 - PubMed
    1. Crit Care. 2013 Mar 19;17(2):210 - PubMed
    1. Br J Anaesth. 2012 Mar;108(3):369-71 - PubMed
    1. Crit Care. 2014 Oct 28;18(5):584 - PubMed
    1. JAMA. 2014 Jun 4;311(21):2181-90 - PubMed

LinkOut - more resources