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This study examines the effect of an algorithm for GDT for patients undergoing major surgery under routine conditions.
Goal directed fluid management in major abdominal surgery has been shown to reduce perioperative complications. The approach aims to optimize the intravascular fluid volume by use of minimally invasive devices which calculate flow-directed variables such as stroke volume (SV) and stroke volume variation (SVV). The investigators aim to show the feasibility of routinely implementing such hemodynamic monitoring during major abdominal surgery, and to evaluate its effects in terms of perioperative fluid management and postoperative outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard therapy | intraoperative standard fluid therapy for major abdominal surgery | ||
| Goal directed therapy | intraoperative goal directed fluid therapy based on an angorithm lead by SVV/CI for major abdominal surgery patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Length of stay in hospital | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| intraoperative crystalloid volume | 1 day | |
| intraoperative colloid volume | 1 day | |
| Length of stay at ICU |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing major abdominal surgery (Colorectal and pancreatic surgery)
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Kratz, MD | Phillips University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Marburg, Department of Anesthesia | Marburg | D-35033 | Germany |
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| 90 days |
| Total amount of complications per patient | 90 days |
| Insufficiance of bowel anastomosis | 90 days |
| Pneumonia | 90 days |
| ACS | 90 days |
| acute renal failure | 90 days |
| Sepsis | 90 days |
| Intraabd. Infection | 90 days |
| wound infection | 90 days |
| UTI | 90 days |