Assisted Fluid Management and Sublingual Microvascular Flow During High-Risk Abdominal Surgery: A Randomized Controlled Trial.

ABSTRACT:

Background

Implementation of goal-directed fluid therapy (GDFT) protocols remains low. Protocol compliance among anesthesiologists tends to be suboptimal owing to the high workload and the attention required for implementation. The assisted fluid management (AFM) system is a novel decision support tool designed to help clinicians apply GDFT protocols. This system predicts fluid responsiveness better than anesthesia practitioners do and achieves higher stroke volume (SV) and cardiac index values during surgery. We tested the hypothesis that an AFM-guided GDFT strategy would also be associated with better sublingual microvascular flow compared to a standard GDFT strategy.

Methods

This bicenter, parallel, 2-arm, prospective, randomized controlled, patient and assessor-blinded,

SUBMITTER: Coeckelenbergh S 

PROVIDER: S-EPMC12621645 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature