Goal-directed fluid therapy in intracranial tumor resection guided by pressure recording analytical method

LIU Xiaomei; DONG Lan; CHEN Yu; LV Hao

Medical Journal of the Chinese People Armed Police Forces ›› 2018, Vol. 29 ›› Issue (8) : 793-796.

ORIGINAL ARTICLES

Goal-directed fluid therapy in intracranial tumor resection guided by pressure recording analytical method

LIU Xiaomei¹, DONG Lan², CHEN Yu¹, LV Hao¹

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Abstract

Objective To evaluate the goal-directed fluid therapy guided by pressure recording analytical method (PRAM) in intracranial tumor resection.Methods Forty patients undergoing intracranial tumor resection were randomly divided into two groups: goal-directed fluid therapy group(Group G) and the traditional fluid therapy group(Group C). Group G received the goal-directed fluid therapy based on SVV, whereas group C was treated with a traditional fluid therapy based on CVP, MAP and the urinary output. The crystalloid requirements, colloid requirements, banked blood requirements, total fluid volume infused ,urinary output, bleeding volume,vasoactive drugs and hemodynamics during operation were recorded.Results The colloid volume, total fluid volume infused,and urinary output during operation were significantly larger in group G than in group C(P<0.05), so was MAP at T₂-T₄(P<0.05).Conclusions PRAM guided goal-directed fluid therapy can help optimize the capacity state in intracranial tumor resection patients and maintain the perioperative stability of hemodynamics .

Key words

pressure recording analytical method / goal-directed fluid therapy / intracranial tumor resection

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LIU Xiaomei, DONG Lan, CHEN Yu, LV Hao. Goal-directed fluid therapy in intracranial tumor resection guided by pressure recording analytical method[J]. Medical Journal of the Chinese People Armed Police Forces. 2018, 29(8): 793-796

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