Progress of Postoperative Fluid Administration for Colorectal Surgery in Fast Track_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIAO Ling , WANG Xiaodong , LI Li

Department of Anal-Colorectal Surgery, West China Hospital, Sichuan University, Chengdu 610041;

Corresponding author：

Keywords：

Fluid therapy; Fast track; Colorectal surgery; Rehabilitation

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the application progress of postoperative fluid administration in colorectal surgery.
Methods Literatures about the advancement of fluid administration in colorectal surgery were reviewed and analyzed.
Results Compared to standard fluid management, restrictive fluid administration could reduce the incidence of complications, the length of stay in hospital and improve postoperative survival rate. Colloid-crystalloid combined therapy was better than that pure crystal therapy.
Conclusion Volume and type of rehydration influence postoperative recovery, which is also considered in “fast track” colorectal surgery.

Citation： XIAO Ling,WANG Xiaodong,LI Li. Progress of Postoperative Fluid Administration for Colorectal Surgery in Fast Track. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(7): 593-596. doi: Copy

1.	刘展，汪晓东，李立. 结直肠外科快速流程内容及依据 [J]. 中国普外基础与临床杂志， 2007; 14(4): 469473.
2.	Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial [J]. Lancet, 2002; 359(9320): 18121818.
3.	Gan TJ, Soppitt A, Maroof M, et al. Goaldirected intraoperative fluid administration reduces length of hospital stay after major surgery [J]. Anesthesiology, 2002; 97(4): 820826.
4.	Schwenk W, Haase O, Raue W, et al .[Establishing“fast track” colonic surgery in the clinical routine] [J]. Zentralbl Chir, 2004; 129(6): 502509.
5.	刘展，汪晓东，李立. 多学科协作诊治模式下的结直肠外科快速康复流程 [J]. 中国普外基础与临床杂志, 2007; 14(2): 239242.
6.	Shires T, Williams J, Brown F. Acute change in extracellular fluids associated with major surgical procedures [J]. Ann Surg, 1961; 154(5): 803810.
7.	Moore FD. Metabolic Care of the Surgical Patient[Ｍ]. Philadelphia:W.B.Saunders, 1959.
8.	Sear JW. Kidney dysfunction in the postoperative period [J]. Br J Anaesth, 2005; 95(1): 2032.
9.	Ali SZ, Taguchi A, Holtmann B, et al. Effect of supplemental preoperative fluid on postoperative nausea and vomiting [J]. Anaesthesia, 2003; 58（8）: 780784.
10.	Scheingraber S, Rehm M, Sehmisch C, et al. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery [J]. Anesthesiology, 1999; 90(5): 12651270.
11.	Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery [J]. Br J Anaesth, 2005; 95(5): 634642.
12.	Prough DS, Bidani A. Hyperchloremic metabolic acidosis is a predictable consequence of intraoperative infusion of 0.9% saline [J]. Anesthesiology, 1999; 90(5): 12471249.
13.	Brandstrup B. Fluid therapy for the surgical patient [J]. Best Pract Res Clin Anaesthesiol, 2006; 20(2): 265283.
14.	MacKay G, Fearon K, McConnachie A, et al. Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery [J]. Br J Surg, 2006; 93(12): 14691474.
15.	Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery [J]. Anesth Analg, 2005; 101(2): 601605.
16.	Perco MJ, Jarnvig IL, HjgaardRasmussen N, et al. Electric impedance for evaluation of body fluid balance in cardiac surgical patients [J]. J Cardiothorac Vasc Anesth, 2001; 15(1): 4448.
17.	Mayor S. New approach to surgical care aims to improve recovery and reduce length of hospital stay [J]. BMJ, 2007; 334(7598): 816817.
18.	Nisanevich V, Felsenstein I, Almogy G, et al. Effect of intraoperative fluid management on outcome after intraabdominal surgery [J]. Anesthesiology, 2005; 103(1): 2532.
19.	Mecray PM, Barden RP, Ravdin IS. Nutritional edema: its effect on the gastric emptying time before and after gastric operations.1937 [J]. Nutrition, 1990; 6(4): 278290.
20.	Lang K, Boldt J, Suttner S, et al. Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery [J]. Anesth Analg, 2001; 93(2):405409.
21.	Brandstrup B, Tnnesen H, BeierHolgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessorblinded multicenter trial [J]. Ann Surg, 2003; 238(5): 641648.
22.	Noblett SE, Snowden CP, Shenton BK, et al. Randomized clinical trial assessing the effect of Doppleroptimized fluid management on outcome after elective colorectal resection [J]. Br J Surg, 2006; 93(9): 10691076.
23.	Matthay MA, Fukuda N, Frank J, et al. Alveolar epithelial barrier. Role in lung fluid balance in clinical lung injury [J]. Clin Chest Med, 2000; 21(3): 477490.
24.	李民, 李幼生, 李宁，等. 加速康复外科与围手术期液体治疗 [J]. 实用临床医药杂志, 2007; 11(5): 46.
25.	Price J, Sear J, Venn R. Perioperative fluid volume optimization following proximal femoral fracture [DB/OL]. Cochrane Database Syst Rev, 2002; (1): CD003004. Oxford: Update Software. www.cochrane.org.
26.	Desborough JP. The stress response to trauma and surgery [J]. Br J Anaesth, 2005; 85(1): 109117.
27.	Sapolsky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions [J]. Endocr Rev, 2000; 21(1): 5589.
28.	Chappell D, Jacob M, HofmannKiefer K, et al. A rational approach to perioperative fluid management [J]. Anesthesiology, 2008; 109(4): 723740.
29.	Boyd O, Bennett ED. Achieving the goal [J]. Crit Care Med, 1999; 27(10): 22982299.
30.	Hannemann P, Lassen K, Hausel J, et al. Patterns in current anaesthesiological perioperative practice for colonic resections: a survey in five northernEuropean countries [J]. Acta Anaesthesiol Scand, 2006; 50(9): 11521160.
31.	Lobo DN, Bjarnason K, Field J, et al. Changes in weight, fluid balance and serum albumin in patients referred for nutritional support [J]. Clin Nutr, 1999; 18(4): 197201.
32.	von Heymann C, Grebe D, Schwenk W, et al. [The influence of intraoperative fluid therapy on the postoperative outcome in “fast track”colon surgery] [J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2006; 41(6): E1E7.
33.	HamiltonDavies C, Mythen MG, Salmon JB, et al. Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry [J]. Intensive Care Med,1997; 23(3): 276281.
34.	Rahbari NN, Zimmermann JB, Schmidt T, et al. Metaanalysis of standard, restrictive and supplemental fluid administration in colorectal surgery [J]. Br J Surg, 2009; 96(4):331341.
35.	邓硕曾. 围术期液体治疗的进展与评价 [J]. 临床麻醉学杂志, 2003; 19(7): 439441.
36.	Arieff AI. Fatal postoperative pulmonary edema: pathogenesis and literature review [J].Chest,1999;115(5): 13711377.
37.	Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery [J]. Anesth Analg, 2005; 101(2): 601605.
38.	Schortgen F, Girou E, Deye N, et al. The risk associated with hyperoncotic colloids in patients with shock [J]. Intensive Care Med, 2008; 34(12): 21572168.
39.	Kondo Y, Nagai H, Kasahara K, et al. The therapeutic effect of hypertonic solutions on the changes in the effective circulating plasma volume in acute necrotizing pancreatitis in rats [J]. Surg Today, 1998; 28(12): 12471253.
40.	汪建平. 重视结直肠癌外科手术患者术后生存质量的提高[J]. 中国普外基础与临床杂志， 2007； 14（6）： 625627.

1. 刘展，汪晓东，李立. 结直肠外科快速流程内容及依据 [J]. 中国普外基础与临床杂志， 2007; 14(4): 469473.
2. Lobo DN, Bostock KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial [J]. Lancet, 2002; 359(9320): 18121818.
3. Gan TJ, Soppitt A, Maroof M, et al. Goaldirected intraoperative fluid administration reduces length of hospital stay after major surgery [J]. Anesthesiology, 2002; 97(4): 820826.
4. Schwenk W, Haase O, Raue W, et al .[Establishing“fast track” colonic surgery in the clinical routine] [J]. Zentralbl Chir, 2004; 129(6): 502509.
5. 刘展，汪晓东，李立. 多学科协作诊治模式下的结直肠外科快速康复流程 [J]. 中国普外基础与临床杂志, 2007; 14(2): 239242.
6. Shires T, Williams J, Brown F. Acute change in extracellular fluids associated with major surgical procedures [J]. Ann Surg, 1961; 154(5): 803810.
7. Moore FD. Metabolic Care of the Surgical Patient[Ｍ]. Philadelphia:W.B.Saunders, 1959.
8. Sear JW. Kidney dysfunction in the postoperative period [J]. Br J Anaesth, 2005; 95(1): 2032.
9. Ali SZ, Taguchi A, Holtmann B, et al. Effect of supplemental preoperative fluid on postoperative nausea and vomiting [J]. Anaesthesia, 2003; 58（8）: 780784.
10. Scheingraber S, Rehm M, Sehmisch C, et al. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery [J]. Anesthesiology, 1999; 90(5): 12651270.
11. Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery [J]. Br J Anaesth, 2005; 95(5): 634642.
12. Prough DS, Bidani A. Hyperchloremic metabolic acidosis is a predictable consequence of intraoperative infusion of 0.9% saline [J]. Anesthesiology, 1999; 90(5): 12471249.
13. Brandstrup B. Fluid therapy for the surgical patient [J]. Best Pract Res Clin Anaesthesiol, 2006; 20(2): 265283.
14. MacKay G, Fearon K, McConnachie A, et al. Randomized clinical trial of the effect of postoperative intravenous fluid restriction on recovery after elective colorectal surgery [J]. Br J Surg, 2006; 93(12): 14691474.
15. Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery [J]. Anesth Analg, 2005; 101(2): 601605.
16. Perco MJ, Jarnvig IL, HjgaardRasmussen N, et al. Electric impedance for evaluation of body fluid balance in cardiac surgical patients [J]. J Cardiothorac Vasc Anesth, 2001; 15(1): 4448.
17. Mayor S. New approach to surgical care aims to improve recovery and reduce length of hospital stay [J]. BMJ, 2007; 334(7598): 816817.
18. Nisanevich V, Felsenstein I, Almogy G, et al. Effect of intraoperative fluid management on outcome after intraabdominal surgery [J]. Anesthesiology, 2005; 103(1): 2532.
19. Mecray PM, Barden RP, Ravdin IS. Nutritional edema: its effect on the gastric emptying time before and after gastric operations.1937 [J]. Nutrition, 1990; 6(4): 278290.
20. Lang K, Boldt J, Suttner S, et al. Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery [J]. Anesth Analg, 2001; 93(2):405409.
21. Brandstrup B, Tnnesen H, BeierHolgersen R, et al. Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessorblinded multicenter trial [J]. Ann Surg, 2003; 238(5): 641648.
22. Noblett SE, Snowden CP, Shenton BK, et al. Randomized clinical trial assessing the effect of Doppleroptimized fluid management on outcome after elective colorectal resection [J]. Br J Surg, 2006; 93(9): 10691076.
23. Matthay MA, Fukuda N, Frank J, et al. Alveolar epithelial barrier. Role in lung fluid balance in clinical lung injury [J]. Clin Chest Med, 2000; 21(3): 477490.
24. 李民, 李幼生, 李宁，等. 加速康复外科与围手术期液体治疗 [J]. 实用临床医药杂志, 2007; 11(5): 46.
25. Price J, Sear J, Venn R. Perioperative fluid volume optimization following proximal femoral fracture [DB/OL]. Cochrane Database Syst Rev, 2002; (1): CD003004. Oxford: Update Software. www.cochrane.org.
26. Desborough JP. The stress response to trauma and surgery [J]. Br J Anaesth, 2005; 85(1): 109117.
27. Sapolsky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions [J]. Endocr Rev, 2000; 21(1): 5589.
28. Chappell D, Jacob M, HofmannKiefer K, et al. A rational approach to perioperative fluid management [J]. Anesthesiology, 2008; 109(4): 723740.
29. Boyd O, Bennett ED. Achieving the goal [J]. Crit Care Med, 1999; 27(10): 22982299.
30. Hannemann P, Lassen K, Hausel J, et al. Patterns in current anaesthesiological perioperative practice for colonic resections: a survey in five northernEuropean countries [J]. Acta Anaesthesiol Scand, 2006; 50(9): 11521160.
31. Lobo DN, Bjarnason K, Field J, et al. Changes in weight, fluid balance and serum albumin in patients referred for nutritional support [J]. Clin Nutr, 1999; 18(4): 197201.
32. von Heymann C, Grebe D, Schwenk W, et al. [The influence of intraoperative fluid therapy on the postoperative outcome in “fast track”colon surgery] [J]. Anasthesiol Intensivmed Notfallmed Schmerzther, 2006; 41(6): E1E7.
33. HamiltonDavies C, Mythen MG, Salmon JB, et al. Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry [J]. Intensive Care Med,1997; 23(3): 276281.
34. Rahbari NN, Zimmermann JB, Schmidt T, et al. Metaanalysis of standard, restrictive and supplemental fluid administration in colorectal surgery [J]. Br J Surg, 2009; 96(4):331341.
35. 邓硕曾. 围术期液体治疗的进展与评价 [J]. 临床麻醉学杂志, 2003; 19(7): 439441.
36. Arieff AI. Fatal postoperative pulmonary edema: pathogenesis and literature review [J].Chest,1999;115(5): 13711377.
37. Joshi GP. Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery [J]. Anesth Analg, 2005; 101(2): 601605.
38. Schortgen F, Girou E, Deye N, et al. The risk associated with hyperoncotic colloids in patients with shock [J]. Intensive Care Med, 2008; 34(12): 21572168.
39. Kondo Y, Nagai H, Kasahara K, et al. The therapeutic effect of hypertonic solutions on the changes in the effective circulating plasma volume in acute necrotizing pancreatitis in rats [J]. Surg Today, 1998; 28(12): 12471253.
40. 汪建平. 重视结直肠癌外科手术患者术后生存质量的提高[J]. 中国普外基础与临床杂志， 2007； 14（6）： 625627.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Progress of Postoperative Fluid Administration for Colorectal Surgery in Fast Track

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