Effect of intraoperative fluid volume on postoperative pulmonary complications in thoracic surgeries: A systematic review and meta-analysis.

ABSTRACT:

Background and aims

There is a lack of clear recommendations on fluid strategies in patients undergoing thoracic surgeries. The primary objective of this study was to compare the amount of intraoperative intravenous fluid (IVF) infused between those who developed postoperative pulmonary complications (PPCs) and those who did not.

Methods

All studies comparing PPCs in intraoperative restrictive versus liberal fluid therapies were included. Those studies where the average fluid infused was compared between PPC and the 'no PPC' groups were also included. The pooled mean difference in IVF between patients with and without PPC and the pooled risk ratio of PPC in restricted versus liberal fluid arms were calculated.

Results

Articles from PubMed (n = 157), EMBASE (

SUBMITTER: Adhikari SD 

PROVIDER: S-EPMC11878357 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature