Evidence map›Paper›PMID 26994635›Full record

ArticleObesity surgery2016

Goal-Directed Fluid Therapy on Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients.

José Luis Muñoz, Tanya Gabaldón, Elena Miranda, Diana Lorena Berrio, Jaime Ruiz-Tovar, José María Ronda, Nuria Esteve, Antonio Arroyo, Ana Pérez

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Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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  3. Acute Hypervolemic Infusion Can Improve Splanchnic Perfusion in Elderly Patients During Laparoscopic Colorectal Surgery.Medical science monitor : international medical journal of experimental and clinical research · 2018
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  4. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

José Luis MuñozHospital General Universitario de Elche, Elche, Alicante, Spain. jlmunyoz@gmail.com.
Tanya GabaldónHospital General Universitario de Elche, Elche, Alicante, Spain.
Elena MirandaHospital General Universitario de Elche, Elche, Alicante, Spain.
Diana Lorena BerrioHospital General Universitario de Elche, Elche, Alicante, Spain.
Jaime Ruiz-TovarHospital General Universitario de Elche, Elche, Alicante, Spain.
José María RondaHospital General Universitario de Elche, Elche, Alicante, Spain.
Nuria EsteveHospital General Universitario de Elche, Elche, Alicante, Spain.
Antonio ArroyoHospital General Universitario de Elche, Elche, Alicante, Spain.
Ana PérezHospital General Universitario de Elche, Elche, Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn bariatric surgery, there are no guidelines available for intraoperative fluid administration. Goal-directed fluid therapy (GDFT) is a new concept of perioperative fluid management that has been shown to improve the prognosis of patients undergoing abdominal surgery. The aim of our study is to assess the impact of the implementation of a GDFT protocol in morbidly obese patients who underwent laparoscopic sleeve gastrectomy (LSG).

methodsA before-after intervention study, in morbidly obese patients who underwent LSG, was conducted at the Obesity Unit of the General University Hospital Elche. Data from the GDFT implementation group (January 2014 to December 2015) were prospectively collected and compared with a preimplementation group (January 2012 to December 2013).

resultsBaseline demographic and comorbidity data between the two groups of patients were similar. The length of stay in the hospital was significantly shortened in GDFT group from 4.5 to 3.44 days (p < 0.001). Intraoperative fluid administration was significantly lower in the GDFT group (1002.4 vs 1687.2 ml in preimplementation group, p < 0.001). In the postoperative period, there was a statistically significant reduction in postoperative nausea and vomiting (PONV) after GDFT implementation (48 to 14.3 %, p < 0.001).

conclusionsImplementation of GDFT protocols can prevent intraoperative fluid overload in patients undergoing bariatric surgery. It could improve outcomes, for example decreasing PONV or even hospital stay.

Indexed as

Fluid TherapyAdultControlled Before-After StudiesFemaleGastrectomyGoalsHumansLaparoscopyMaleMiddle AgedObesity, MorbidGoal-directed fluid therapySleeve gastrectomy

Identifiers

PMID26994635

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.