Table 1.
Study | Type of surgery | Patients (GDFT), n | Patients (control), n | Risk | Age, years | GDFTdyn goals | Other goals | Monitoring devices | Interventions |
---|---|---|---|---|---|---|---|---|---|
Benes J 2010 [13] |
Major abdominal | 60 | 60 | High | > 18 | SVV < 10% | CI 2.5–4 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Broch O 2016 [14] |
Major abdominal | 39 | 40 | High | > 18 | PPV < 10%a | CI > 2.5 L/min/m2 | Nexfinb | Fluid inotropes vasopressors |
Buettner M 2008 [15] |
Major abdominal | 40 | 40 | High | > 18 | SPV < 10% | – | PiCCOplus | Fluid vasopressor |
Cesur S 2018 [16] |
Abdominal | 35 | 35 | Moderate | > 18 | PVI < 13% | – | Masimo Radical 7b | Fluid vasopressors |
Colantonio L 2015 [17] |
Major abdominal | 38 | 42 | High | > 18 | SVV < 15% | SVI > 35 mL/min/m2 CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes |
Correa-Gallego C 2015 [18] |
Major abdominal | 69 | 66 | High | NR | SVV < 15% | CO > 4 L/min CI > 2 L/min/m2 | FloTrac | Fluid |
Demirel İ 2018 [19] |
Abdominal | 30 | 30 | Moderate | > 18 | PVI < 14% | – | Masimo Co.b | Fluid vasopressors |
Elgendy MA 2017 [20] |
High risk | 43 | 43 | High | NR | SVV < 12% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Fellahi JL 2015 [21] |
Cardiac | 48 | 44 | High | > 18 | SVV ≤11% | CI > 2.4 L/min/m2 | Endotracheal cardiac output monitor | Fluid inotropes |
Forget P 2010 [22] |
Abdominal | 41 | 41 | Moderate | > 18 | PVI < 13% | – | Masimo Co.b | Fluid vasopressors |
Funk DJ 2015 [23] |
Major vascular | 20 | 20 | High | > 18 | SVV < 13% | CI > 2.2 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Goepfert MS 2013 [24] |
Cardiac | 50 | 50 | High | > 18 | SVV < 10% | CI > 2 L/min/m2 | PiCCOplus | Fluid inotropes vasopressors |
Hand WR 2016 [25] |
Head and neck | 47 | 47 | Moderate | NR | SVV < 13% | CI > 3 L/min/m2 SVR > 800 dynes/s/cm5/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Harten J 2008 [26] |
Emergency abdominal | 14 | 15 | High | > 50 | PPV < 10% | – | Lidco plus | Fluid |
Kapoor PM 2008 [27] |
Cardiac | 13 | 14 | High | NR | SVV < 10%a | CI 2.5–4.2 L/min/m2 SVI 30-65 mL/beat/m2 SVRI: 1500–2500 dynes/s/cm5/m2 DO2 450–600 mL/min/m2 ScVO2 > 70% | FloTrac/Vigileo | Fluid inotropes vasoactives |
Kapoor PM 2016 [28] |
Cardiac | 60 | 60 | High | NR | SVV < 10%a | CI 2.5–4.2 L/min/m2 SVI 30–65 mL/beat/m2 SVRI 1500–2500 dynes/s/cm5/m2 DO2 450–600 mL/min/m2 ScVO2 > 70% Hct > 30% ScVO2 > 70% | FloTrac/Vigileo | Fluid inotropes vasodilators |
Kim HJ 2018 [29] |
Head and neck | 31 | 31 | Moderate | 20–80 | SVV < 12% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasodilators |
Kumar L 2016 [30] |
Major abdominal | 30 | 30 | High | > 18 | SVV < 10% | CI ≥2.5 L/min/m2 O2ER ≤ 27% | FloTrac/Vigileo | Fluid inotropes vasopressors |
Lai CW 2015 [31] |
Major abdominal | 109 | 111 | High | NR | SVV < 10% | – | LiDCOrapid | Fluid |
Liang M 2017 [32] |
Urologic | 30 | 30 | High | 60–80 | SVV 8%–13% | DO2I ≥ 500 mL/min/m2 | FloTrac/Vigileo | Fluid inotropes |
Lopes MR 2007 [33] |
High risk | 17 | 16 | High | > 18 | PPV < 10% | – | IBPplus | Fluid |
Luo J 2017 [34] |
Craniotomy | 73 | 72 | High | > 18 | SVV < 15% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Mayer J 2010 [35] |
Major abdominal | 30 | 30 | High | > 18 | SVV < 12% | CI > 2.5 L/min/m2 SVI > 35 mL/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Peng K 2014 [36] |
Major orthopedic | 40 | 40 | High | > 18 | SVV < 10%/14% | – | FloTrac/Vigileo | Fluid vasopressors |
Pösö T 2014 [37] |
Abdominal | 30 | 20 | Moderate | NR | SVV < 12% | CI ≥2.0 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Ramsingh DS 2013 [38] |
Major abdominal | 18 | 20 | High | > 18 | SVV < 12% | – | FloTrac/Vigileo | Fluid |
Salzwedel C 2013 [39] |
Major abdominal | 79 | 81 | High | NR | PPV < 10% | CI > 2.5 L/min/m2 | ProAQT | Fluid inotropes vasopressors |
Scheeren TW 2013 [40] |
High risk | 26 | 26 | High | > 18 | SVV < 10% | SV rise > 10% | FloTrac/Vigileo | Fluid |
Stens J 2015 [41] |
Abdominal | 13 | 18 | Moderate | > 18 | PPV < 12% | CI > 2.5 L/min/m2 | Nexfinb | Fluid inotropes vasopressors |
Sundaram SC 2016 [42] |
Intracranial tumor | 30 | 30 | High | 20–80 | PPV < 13% | – | Phillips Intellivue MP50 | Fluid vasopressors |
Weinberg L 2017 [43] |
Major abdominal | 26 | 26 | High | > 18 | SVV < 20% | CI > 2.0 L/min/m2 PaO2 > 100 mmHg Hb > 8 g/dL T > 36 °C | FloTrac/Vigileo | Fluid inotropes vasopressors |
Wu J 2017 [44] |
Intracranial tumor | 33 | 30 | High | NR | SVV < 12% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Xu H 2017 [45] |
Thoracic | 84 | 84 | Moderate | 18–60 | SVV 10– 13% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Yu Y 2014 [46] |
Abdominal | 15 | 15 | Moderate | 20–65 | PVI < 13% | – | Masimo Radical 7b | Fluid vasopressors |
Zhang J 2013 [47] |
Thoracic | 30 | 30 | Moderate | 18–60 | SVV 9– 11% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid inotropes |
Zheng H 2013 [48] |
Major abdominal | 30 | 30 | High | 60–80 | SVV < 12% | CI > 2.5 L/min/m2 SVI > 35 mL/m2 | FloTrac/Vigileo | Fluid inotropes vasopressors |
Zheng LS 2016 [49] |
Major abdominal | 39 | 37 | High | 65–90 | SVV < 12% | CI > 2.5 L/min/m2 | FloTrac/Vigileo | Fluid vasopressors |
CIx cardiac index, CO cardiac output, DO2 oxygen delivery, GDFT goal-directed fluid therapy, GDFTdyn goal-directed fluid therapy based on dynamic variables, Hb hemoglobin, Hct Red blood cell specific volume, NR not reported, O2ER O2 extraction rate, PaO2 partial pressure of oxygen, PPV pulse pressure variation, PVI pleth variability index; ScVO2 systemic central venous oxygen saturation, SPV systolic pressure variation, SV stroke volume, SVI stroke volume index, SVR systemic vascular resistance, SVRI systemic vascular resistance index, SVV stroke volume variation, T temperature
aAlgorithms for GDFTdyn in these studies were performed intraoperatively and shortly after surgery, while others were performed only intraoperatively
bMonitoring devices in these studies were non-invasive, while others were minimally invasive