Individualized Fluid Management Using the Pleth Variability Index A Randomized Clinical Trial

Conclusions Among intermediate-risk patients having orthopedic surgery with general anesthesia, fluid administration guided by the plethysmographic variability index did not shorten the duration of hospitalization or reduce complications.Editor ’s PerspectiveWhat We Already Know about This TopicThe role of guided fluid management remains unclear, with contradictory trial results.The noninvasive plethysmographic variability index is one method of guiding fluid administration.What This Article Tells Us That Is NewThe investigators randomized 447 moderate-risk major arthroplasty patients to plethysmographic-guidedversus routine fluid management.Fitness for discharge and actual hospital durations were essentially identical in each group. Complications were rare and similar in each group.Plethysmographic-guided fluid management did not reduce the duration of hospitalization or complications in moderate-risk surgery patients.
Source: Anesthesiology - Category: Anesthesiology Source Type: research