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SCVA March 2014 Podcast 2: Perioperative Fluid Management for Pulmonary Resection Surgery and Esophagectomy
SAGE Cardiology and Cardiovascular Medicine
English - November 10, 2014 17:47 - 22 minutes - 8.86 MBScience Health & Fitness Medicine medicine sage cardiology cardiovascular publications Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Perioperative fluid management is of significant importance during pulmonary resection surgery and esophagectomy. Excessive fluid administration has been consistently shown as a risk factor for lung injury after thoracic procedures. Probable causes of this serious complication include fluid overload, lung lymphatics and pulmonary endothelial damage. Along with new insights regarding the Starling equation and the absence of a third space, current evidence supports a restrictive fluid regimen for patients undergoing pulmonary resection surgery and esophagectomy. Multiple minimally invasive hemodyamic monitoring devices, including pulse pressure/stroke volume variation, esophageal Doppler, and extravascular lung water measurement, were evaluated for optimizing perioperative fluid therapy. Further research regarding the prevention, diagnosis, and treatment of acute lung injury after pulmonary resection and esophagectomy is required.
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