Advanced Hemodynamic Monitoring for Goal-directed Hemodynamic Management During Radical Cystectomy

Advanced Hemodynamic Monitoring for Goal-directed Hemodynamic Management During Radical Cystectomy

The purpose of this study is to determine whether increasing cardiac output by a combination of intravenous fluids and inotropic drugs can reduce mortality and morbidity in radical cystectomy operations.

Inclusion Criteria:

• Adults (>18yo) scheduled for elective radical cystectomy and ileal conduit formation

Exclusion Criteria:

• Creatinine level above 200 mcg/dl
• single functioning kidney
• s/p kidney transplant
• heart rhythm other than sinus
• known allergy to lithium chloride
• chronic lithium therapy
• weight below 40 kg
• mental or language problems that precludes obtaining informed consent