International journal of clinical practice
-
Int. J. Clin. Pract. · Mar 2008
Review Meta AnalysisDoppler-guided intra-operative fluid management during major abdominal surgery: systematic review and meta-analysis.
Peri-operative fluid therapy is a controversial area with few randomised trials to guide practice. Recently, a number of trials have suggested that intra-operative therapy guided by oesophageal Doppler acquired haemodynamic variables may improve postoperative outcome. ⋯ Oesophageal Doppler-guided fluid management may improve outcome following major intra-abdominal surgery. However, comparison with fluid restriction strategies, including a cost-effectiveness analysis are required.