Use of thoracic fluid content for prediction of fluid balance and postoperative pulmonary complications after major abdominal surgery: an observational study.
Rev Esp Anestesiol Reanim (Engl Ed)
; 71(3): 141-150, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38452925
ABSTRACT
BACKGROUND AND OBJECTIVES:
The harmful effects of excess fluids frequently manifest in the lungs. Thoracic fluid content (TFC) is a variable provided by the STARLINGTM bioreactance monitor, which represents the total volume of fluid in the chest. The objective is to analyse the association between the variation in TFC values (TFCd0%) at 24â¯h postoperatively, postoperative fluid balance, and postoperative pulmonary complications. MATERIAL ANDMETHODS:
Prospective and analytical observational study. Patients scheduled for major abdominal surgery at a tertiary teaching hospital were included. They were monitored during the intervention and the first 24 postoperative hours with the monitor. STARLINGTM, measuring TFC and its variation in different stages of the perioperative period. Serial lung ultrasounds were performed and postoperative pulmonary complications were recorded. Logistic regression was performed to predict the occurrence of atelectasis and pulmonary congestion. The Pearson correlation coefficient was calculated to verify the association between TFC and fluid balance.RESULTS:
50 patients were analyzed. TFCd0% measured on the morning of the first postoperative day increased by a median of 27.1% [IQR 20.3-37.5] and was correlated at râ¯=â¯0.44 with the postoperative balance of 677â¯ml [IQR 125.5-1,412]. Increased TFC was related to a higher risk of atelectasis (ORâ¯=â¯1.24) and pulmonary congestion (ORâ¯=â¯1.3).CONCLUSIONS:
TFCd0% measured 24â¯h after surgery presents a moderate correlation with postoperative fluid balance. Its increase is a risk factor for the appearance of postoperative pulmonary complications.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Postoperative Complications
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Water-Electrolyte Balance
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Abdomen
Limits:
Aged
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Female
/
Humans
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Male
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Middle aged
Language:
En
Year:
2024
Type:
Article