Objective: To investigate the effects of perioperative goal-directed fluid therapy (GDFT) on intraoperative fluid balance, postoperative morbidity, and mortality. Methods: This is a prospective randomized study, and 90 patients who underwent elective open gastrointestinal cancer surgery between April 2017 and May 2018 were included. Patients were randomized into 2 groups that received liberal fluid therapy (the LFT group, n=45) and goal-directed fluid therapy (the GDFT group, n=45). Patients' Colorectal Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity (CR-POSSUM) physiological score, Charlson Comorbidity Index (CCI), perioperative vasopressor and inotrope use, postoperative AKIN classification, postoperative intensive care unit (ICU) hospitalization, hospital stay, and 30-day mortality were recorded. Results: The volume of crystalloid used perioperatively and the total volume of fluid were significantly lower in the GDFT group compared to the LFT group (P<0.05). CR-POSSUM physiological score and CCI were significantly higher in the GDFT group (P<0.05). Although perioperative vasopressor and inotrope use was significantly higher in the GDFT group (P<0.05), postoperative acute kidney injury development was not affected. Postoperative mortality was determined to be similar in both groups (P>0.05). Conclusion: Although GDFT was demonstrated to be a good alternative method to LFT in open gastrointestinal cancer surgery, and it can prevent perioperative fluid overload, and the postoperative results are comparable in the two groups.

Duygu Akyol;Zafer Cukurova;Evrim Kucur Tulubas;Güne? ?zlem Y?ld?z;Mehmet Süleyman Sabaz

Department of Anesthesiology and Reanimation,Ba?ak?ehir ?am and Sakura City Hospital,Istanbul,Turkey;Department of Anesthesiology and Reanimation,Bakirkoy Dr.Sadi Konuk Training and Research Hospital,University of Health Sciences,Istanbul,Turkey;Department of Critical Care Medicine,Marmara University Pendik Training and Research Hospital,Marmara University School of Medicine,Istanbul,Turkey

急性病杂志（英文版）

[1]Duygu Akyol;Zafer Cukurova;Evrim Kucur Tulubas;Güne? ?zlem Y?ld?z;Mehmet Süleyman Sabaz-.Goal-directed fluid therapy in gastrointestinal cancer surgery: A prospective randomized study)[J].急性病杂志（英文版）,2022(02):52-58

Physiologic,enUmeration,inotrope,AKIN,crystalloid,perioperatively

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