Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/28864
Title: Measuring the impact of anaesthetist-administered medications volumes on intraoperative fluid balance during prolonged abdominal surgery (MEASURE study).
Austin Authors: Weinberg, Laurence ;Lee, Dong-Kyu;Bergin, Hannah;Koshy, Anoop N ;Tully, Patrick A;Meyerov, Joshua;Louis, Maleck ;Yang, Bobby O;Grover-Johnson, Olivia;Scurrah, Nicholas;Cosic, Luka ;Story, David A ;Bellomo, Rinaldo 
Affiliation: Intensive Care
Anaesthesia
Cardiology
Department of Critical Care, University of Melbourne, Victoria, Australia..
Surgery (University of Melbourne)
Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea..
Issue Date: 2022
Date: 2022-02-14
Publication information: Minerva anestesiologica 2022; 88(5): 334-342
Abstract: The contribution of intraoperative anesthetist-administered medications (IAAMs) to the total volume of intraoperative intravenous (IV) fluid therapy and their association with postoperative outcomes has never been formally investigated. We performed a retrospective study of adult patients undergoing pancreaticoduodenectomy. The volume of IAAMs, crystalloids and colloids, blood and blood products, blood loss, urine output and intraoperative fluid balance were collected. The contribution of IAAMs to the total intraoperative IV fluid volume and postoperative complications was evaluated. A total of 152 consecutive patients were included. The median volume of IAAMs was 363.8 mL (interquartile range [IQR], (241.0-492.5) delivered at a median rate of 0.61 mL kg hr-1 (0.40-0.87) over a median duration of surgery of 489 minutes (416.3-605.3). This increased the total administered fluid volume by 5.2% (95% confidence intervals [CI]: 4.6, 5.9%) (Cohen's d=1.33, P<0.001). The volume of IAAMs was comparable to the intraoperative colloid volume administered (median colloid volume, 400 mL). Overall, fluid volumes correlated significantly with the severity of complications (P=0.011), and the correlation strength increased when the IAAMs volume was included (P=0.005). On addition of IAAMs, the area under the receiver operator characteristic curve for prediction of postoperative complications increased from 0.580 (95%CI: 0.458, 0.701) to 0.603 (95%CI: 0.483, 0.723), P=0.041). IAAMs significantly increased the total administered fluid volume during pancreaticoduodenectomy. Their inclusion increases the accuracy of postoperative complications predictions. These findings support their inclusion in fluid volumes and balances in future interventional studies.
URI: https://ahro.austin.org.au/austinjspui/handle/1/28864
DOI: 10.23736/S0375-9393.22.15918-3
ORCID: 0000-0001-7403-7680
0000-0002-8741-8631
0000-0002-0238-4496
0000-0002-1676-6997
0000-0001-7698-6302
0000-0003-2860-0641
0000-0002-6479-1310
0000-0002-1650-8939
Journal: Minerva anestesiologica
PubMed URL: 35164486
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/35164486/
Type: Journal Article
Appears in Collections:Journal articles

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