WASHINGTON, DC USA (UroToday.com) - Ileus after radical cystectomy is one of the most common and difficult complications to manage and is the main cause for extended length of hospital stay. These authors found that intensive monitoring of fluid status using esophageal Doppler allowed optimal fluid management and decreased the rate of ileus by 50%. The authors performed a randomized blinded study where patients underwent standard anesthesia and insertion of esophageal Doppler (blinded to the anesthetist.) Intravenous fluids were administered at the discretion of the anesthetist and the trial group received additional intravenous colloid (from a researcher) guided by hemodynamic measurements (stroke volume (SV) and corrected flow time (FTc).) The Doppler group received significantly more fluid during the intial hour of surgery, but then equivalent amount of fluid to the control group for the rest of the case.
Presented by Praveen Pillai at the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA
Reported for UroToday by David P. Wood Jr., MD, Professor, Department of Urology, University of Michigan Health System.
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