Evidence map›Paper›PMID 38049713›Full record

Trial reportBMC anesthesiology2023

Goal-directed fluid therapy using stroke volume variation on length of stay and postoperative gastrointestinal function after major abdominal surgery-a randomized controlled trial.

Yanxia Sun, Xuan Liang, Fang Chai, Dongjing Shi, Yue Wang

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03940144 (Department of Anesthesiology, Beijing Tong Ren Hospital Capital Medical University), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% of its field
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.

NCT03940144 nacompletednot on this map

Department of Anesthesiology, Beijing Tong Ren Hospital Capital Medical University

TypeinterventionalSponsorBeijing Tongren HospitalRan2019 to 2021Enrolled110ConditionsGoal-directed Fluid TherapyArmsthe enhanced flow-based hemodynamic parameters of the FloTrac/Vigileo device
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
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  11. Observational
  12. Article
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

5 authors at 2 institutions in 1 country.

Yanxia Sun *Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. sun00017@gmail.com.
Xuan Liang *Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Fang ChaiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Dongjing ShiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Yue WangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Beijing Tongren Hospital · CNCapital Medical University · CN

Funding

Beijing Municipal Administration of Hospital PX2018007
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe effectiveness of goal-directed fluid therapy (GDFT) in promoting postoperative recovery remains unclear, the aim of this study was to evaluate the effect of GDFT on length of hospital stay and postoperative recovery of GI function in patients undergoing major abdominal oncologic surgery.

methodsIn this randomized, double- blinded, controlled trial, adult patients scheduled for elective major abdominal surgery with general anesthesia, were randomly divided into the GDFT protocol (group G) or conventional fluid therapy group (group C). Patients in group C underwent conventional fluid therapy based on mean arterial pressure (MAP) and central venous pressure (CVP) whereas those in group G received GDFT protocol associated with the SVV less than 12% and the cardiac index (CI) was controlled at a minimum of 2.5 L/min/m

resultsOne hundred patients completed the study protocol. The length of hospital stay was significantly shorter in group G compared with group C [9.0 ± 5.8 days versus 12.0 ± 4.6 days, P = 0.001]. Postoperative gastrointestinal dysfunction (POGD) occurred in two of 50 patients (4%) in group G and 16 of 50 patients (32%) in the control group (P < 0.001). GDFT significantly also shorten time to first flatus by 11 h (P = 0.009) and time to first tolerate oral diet by 2 days (P < 0.001).

conclusionsGuided by SVV and CI, the application of GDFT has the potential to expedite postoperative recovery of GI function and reduce hospitalization duration after major abdominal surgery.

trial registrationThis study was registered on www. CLINICALTRIALS: gov on 07/05/2019 with registration number: NCT03940144.

Indexed as

AbdomenGoalsAdultFluid TherapyHumansLength of StayPostoperative ComplicationsStroke VolumeFluid therapyFunctionalGastrointestinal disorderGoal-directed therapyIntraoperative careLength of stay

Identifiers

PMID38049713
PMCPMC10694978
OpenAlexW4389302910

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Registered trials

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.