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In this "before and after" study we will investigate the potential benefit on postoperative outcomes of a guided fluid therapy with a stroke volume optimization . The NICE protocol has been applied by means of EV1000 monitor and arterial waveform analysis ( Flotrac - Edwards). In the postoperative period overall complications, as well as exitus , will be analyzed and compared with those of a control group underwent the same surgical interventions, with a standard hemodynamic monitoring.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | No Intervention | patients before 2014, in which fluids were administered without FloTrac monitoring | |
| case group | Active Comparator | patients after 2014, after management of fluid therapy has been guided by FloTrac parameters as a standard clinical practice (NICE protocol) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FloTrac | Device | Stroke Volume has been maintained at 90% of the maximal Stroke Volume as in NICE protocol 2011 |
|
| Measure | Description | Time Frame |
|---|---|---|
| complication rate | up to 30 days postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of hospitalization | an average of 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| amount of intraoperative fluids | an average of 12 hours |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Valter MD Perilli, PhD | Department of Anesthesiology | Principal Investigator |
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