Effect of Postoperative Restrictive Fluid Therapy in the Recovery of Patients with Abdominal Vascular Surgery

• Published in: European journal of vascular and endovascular surgery 2009-05, Vol.37 (5), p.538-543
• Main Authors: González-Fajardo, J.A, Mengibar, L, Brizuela, J.A, Castrodeza, J, Vaquero-Puerta, C
• Format: Article
• Language: English
• Subjects: Aged; Elective Surgical Procedures - methods; Female; Fluid therapy; Fluid Therapy - methods; Follow-Up Studies; Gastrointestinal Motility - physiology; Gastrointestinal Tract - physiopathology; Graft Occlusion, Vascular - surgery; Humans; Male; Middle Aged; Perioperative fluid balance; Postoperative Care - methods; Postoperative Complications - therapy; Prospective Studies; Recovery of Function; Renal Artery - surgery; Renal Artery Obstruction - surgery; Single-Blind Method; Surgery; Treatment Outcome; Vascular complications; Vascular Surgical Procedures - methods
• ISSN: 1078-5884; 1532-2165
• DOI: 10.1016/j.ejvs.2009.01.010

Abstract Objective To compare the outcome of the postoperative administration of a restricted or standard intravenous fluid regimen in patients who underwent elective abdominal vascular surgery. The primary end point was postoperative hospital stay. Design Prospective observer-blinded, randomised controlled trial. Material and methods Patients were considered eligible if they underwent transperitoneal aorto-iliac approach with infrarenal graft repair. During the operation and intensive care unit stay, fluids were prescribed by the anaesthetists who were unaware of the details of the study. In the vascular surgical ward, patients in the standard group (SG) received 2500 ml of fluids per day, whereas patients in the restricted group (RG) received 1500 ml of fluids per day. All the patients were evaluated on an intention-to-treat basis. Results Forty patients were randomised to the RG ( n = 20) or SG ( n = 20). No significant differences were observed in the recovery of gastrointestinal function. However, the postoperative hospital stay was shorter in the RG (8 days) than in the SG (12 days) ( p = 0.003). Conclusions The use of a restrictive postoperative fluid protocol significantly reduces the duration of hospital stay in patients who have undergone major elective abdominal vascular surgery.