Goal-directed fluid therapy for microvascular free flap reconstruction following mastectomy: A pilot study.

ABSTRACT:

Background

Fluid management of the surgical patient has undergone a paradigm shift over the past decade. A change from 'wet' to 'dry' to a 'goal-directed' approach has been witnessed. The fluid management of patients undergoing free flap reconstruction is particularly challenging. This is typically a long operation with minimal surgical stimulation, and hypotension often ensues. The use of vasopressors in these cases is contraindicated to maintain adequate flow to the flap. Hypotension is often treated with intravenous fluid boluses. However, aggressive fluid administration to maintain adequate blood pressure can result in flap edema, venous engorgement and, ultimately, flap loss.

Objective

The primary objective of the present study was to determine whether goal-directed flu

SUBMITTER: Funk D 

PROVIDER: S-EPMC4664136 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature