Monika Sasnauskaitė, Tomas Bukauskas, Andrius Macas

Abstract

The aim of this study was to evaluate perioperative fluid management for patients with abdominal sepsis during urgent surgery. Methodology: A prospective study of 88 patients was carried out in Lithuanian University of Health Sciences from 2016 April to August. Patient‘s demographic data, weight, evaluation of ASA classes, the sort and amount of intraoperative fluid, duration of the surgery, the amount of fluid at the first day after the operation, mortality rate during hospitalization were collected from patient‘s case histories. Conclusions: Patients were given only crystalloids during surgeries in liberal fluid management manner with average of 17.6 ± 14.1 ml/kg/h. Fluid management was not individualized for each patient and the fluid was often given in standard quantities. Mortality rates were not related to the amount of fluid given during surgery (P > 0.05) but was related to ASA category (P = 0.001).

Keyword(s): sepsis; urgent surgery; volemia; restrictive fluid therapy; liberal fluid therapy; Goal directed fluid therapy.
DOI: 10.5200/sm-hs.2016.113
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