Evidence map›Paper›PMID 42426483›Full record

ArticleDigestive diseases and sciences2026

Discretionary Versus Routine Intravenous Fluids for Ambulatory Gastrointestinal Endoscopies: A Cohort Study Following Hurricane Helene.

Asha Dash, Alekya Menta, Anderson Huang, Kathryn Stiff, Ann Shum, Sonia Friedman, Sushrut Jangi, Christian Brice, Ariel Fischer, Saurav Kini and 3 more

Abstract readComparative Study
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In one paragraph

Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Asha DashDepartment of Medicine, Tufts Medical Center, Boston, MA, 02111, USA.
Alekya MentaTufts University School of Medicine, Boston, MA, 02111, USA.
Anderson HuangDepartment of Medicine, Tufts Medical Center, Boston, MA, 02111, USA.
Kathryn StiffGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Ann ShumGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Sonia FriedmanGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Sushrut JangiGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Christian BriceDepartment of Anesthesiology, Tufts Medical Center, Boston, MA, 02111, USA.
Ariel FischerGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Saurav KiniDepartment of Medicine, Tufts Medical Center, Boston, MA, 02111, USA.
Michael SchoorDepartment of Anesthesiology, Tufts Medical Center, Boston, MA, 02111, USA.
David OngoriDepartment of Anesthesiology, Tufts Medical Center, Boston, MA, 02111, USA.
Xiaocen ZhangGastroenterology and Hepatology, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA. Xcezhang@gmail.com.ORCID https://orcid.org/0000-0003-4735-4052

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIntravenous fluids (IVFs) are often routinely given to patients undergoing ambulatory gastrointestinal (GI) endoscopies, despite a lack of data to support this practice. A national IVF shortage occurred late 2024 after Hurricane Helene damaged a major manufacturing facility in the US. In response, our GI unit changed the IVF protocol from routine to discretionary administration to conserve fluid for those who needed it the most. This study examined the outcomes of this change.

methodsThis is a cohort study conducted at a tertiary referral hospital in the USA. We compared procedure data from two periods, October-November 2024 (discretionary or "as needed" fluid) and October-November 2023 (routine fluid). The primary outcome was the percentage of patients receiving vasopressors. Secondary outcomes included perioperative vital sign change (hypotension, tachycardia, desaturation), medication use (fluid, sedative, and other anesthesia administered agents), and anesthesia and recovery times.

resultsA total of 1827 consecutive ambulatory esophagogastroduodenoscopies and colonoscopies were performed under monitored anesthesia care during the study period (983 discretionary IVF and 844 routine IVF). A higher percentage of the patients in the discretionary IVF cohort received vasopressors (18.1% vs. 12.8%, p < 0.01). There was no significant difference in perioperative hypotension (26.5% vs. 29.6%, p = 0.14), tachycardia or desaturation, or anesthesia or recovery time.

conclusionsDiscretionary vs. routine IVF administration for ambulatory GI endoscopies was associated with increased vasopressor use but not increased vital sign alteration or anesthesia or recovery time.

Indexed as

Ambulatory Surgical ProceduresCyclonic StormsEndoscopy, GastrointestinalFluid TherapyAdultCohort StudiesFemaleHumansMaleMiddle AgedVasoconstrictor AgentsVasoconstrictor AgentsCohort studyEndoscopyIntravenous fluidMonitored anesthesia carePerioperative outcome

Identifiers

PMID42426483

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