Infusion Effect on Postoperative Intestinal Failure
Purpose: improvement of the results of operative treatment in patients with emergency abdominal pathology by selecting the tactics of perioperative infusion therapy that would be optimum for postoperative bowel function recovery.Materials and methods. 52 surgical patients (28 men, 24 women, mean age...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2018-03-01
|
| Series: | Общая реаниматология |
| Subjects: | |
| Online Access: | https://www.reanimatology.com/rmt/article/view/1638 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849698751771312128 |
|---|---|
| author | Marina V. Petrova Andrey V. Butrov Andrey V. Grechko Nataliya V. Stepanova Mohammed F. I. Nakade Marina N. Storchai Rubanes Mohan Gulnaz R. Mahmutova |
| author_facet | Marina V. Petrova Andrey V. Butrov Andrey V. Grechko Nataliya V. Stepanova Mohammed F. I. Nakade Marina N. Storchai Rubanes Mohan Gulnaz R. Mahmutova |
| author_sort | Marina V. Petrova |
| collection | DOAJ |
| description | Purpose: improvement of the results of operative treatment in patients with emergency abdominal pathology by selecting the tactics of perioperative infusion therapy that would be optimum for postoperative bowel function recovery.Materials and methods. 52 surgical patients (28 men, 24 women, mean age 57.5±14 years) subjected to various emergency abdominal surgeries were studied. The patients were split into 2 groups. It was a prospective study; group affiliation was determined by randomization. In group 1 (n=29), balanced ionic solutions were used for perioperative infusion therapy. In group 2 (n=23), balanced ionic solutions were combined with synthetic colloids. The infusion therapy volume during operation was 2359 ml on average. To determine the bowel function during the postoperative period, comprehensive dynamic assessment of the gastrointestinal tract (GIT) status was undertaken, which included physical examination, intra-abdominal pressure (IAP) measurement, and ultrasound visualization of the intestinal wall condition; the dynamics of intestinal absorptive function and common laboratory tests were monitored. The level of intestinal failure during the postoperative period was determined based on assessment of the GIT condition and recommendations of the National Guidelines for Parenteral and Enteral Nutrition.Results. A strong significant correlation (r=1.000, P=0.01) between the volume of perioperative infusion therapy and the stage of postoperative intestinal failure was established.Conclusion. During performance of emergency surgeries, the volume of intra-operative infusion therapy rendered a direct influence on the postoperative bowel function. Optimization and application of a targeted corrective infusion therapy during the perioperative period promote earlier resolution of postoperative intestinal failure. |
| format | Article |
| id | doaj-art-219d134a1cee42b0a34e626e83178d6d |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2018-03-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-219d134a1cee42b0a34e626e83178d6d2025-08-20T03:18:49ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102018-03-01141505710.15360/1813-9779-2018-1-50-571597Infusion Effect on Postoperative Intestinal FailureMarina V. Petrova0Andrey V. Butrov1Andrey V. Grechko2Nataliya V. Stepanova3Mohammed F. I. Nakade4Marina N. Storchai5Rubanes Mohan6Gulnaz R. Mahmutova7Peoples’ Friendship University of Russia; Federal Research and Clinical Center of Intensive Care Medicine and RehabilitologyPeoples’ Friendship University of RussiaFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologyPeoples’ Friendship University of Russia; V. V. Vinogradov Municipal Clinical Hospital № 40Peoples’ Friendship University of RussiaPeoples’ Friendship University of Russia; V. V. Vinogradov Municipal Clinical Hospital № 40Peoples’ Friendship University of RussiaPeoples’ Friendship University of RussiaPurpose: improvement of the results of operative treatment in patients with emergency abdominal pathology by selecting the tactics of perioperative infusion therapy that would be optimum for postoperative bowel function recovery.Materials and methods. 52 surgical patients (28 men, 24 women, mean age 57.5±14 years) subjected to various emergency abdominal surgeries were studied. The patients were split into 2 groups. It was a prospective study; group affiliation was determined by randomization. In group 1 (n=29), balanced ionic solutions were used for perioperative infusion therapy. In group 2 (n=23), balanced ionic solutions were combined with synthetic colloids. The infusion therapy volume during operation was 2359 ml on average. To determine the bowel function during the postoperative period, comprehensive dynamic assessment of the gastrointestinal tract (GIT) status was undertaken, which included physical examination, intra-abdominal pressure (IAP) measurement, and ultrasound visualization of the intestinal wall condition; the dynamics of intestinal absorptive function and common laboratory tests were monitored. The level of intestinal failure during the postoperative period was determined based on assessment of the GIT condition and recommendations of the National Guidelines for Parenteral and Enteral Nutrition.Results. A strong significant correlation (r=1.000, P=0.01) between the volume of perioperative infusion therapy and the stage of postoperative intestinal failure was established.Conclusion. During performance of emergency surgeries, the volume of intra-operative infusion therapy rendered a direct influence on the postoperative bowel function. Optimization and application of a targeted corrective infusion therapy during the perioperative period promote earlier resolution of postoperative intestinal failure.https://www.reanimatology.com/rmt/article/view/1638emergency abdominal surgeryinfusion therapypostoperative intestinal paralysisintestinal failure syndromeintra-abdominal pressureultrasound visualization of intestinal wall condition |
| spellingShingle | Marina V. Petrova Andrey V. Butrov Andrey V. Grechko Nataliya V. Stepanova Mohammed F. I. Nakade Marina N. Storchai Rubanes Mohan Gulnaz R. Mahmutova Infusion Effect on Postoperative Intestinal Failure Общая реаниматология emergency abdominal surgery infusion therapy postoperative intestinal paralysis intestinal failure syndrome intra-abdominal pressure ultrasound visualization of intestinal wall condition |
| title | Infusion Effect on Postoperative Intestinal Failure |
| title_full | Infusion Effect on Postoperative Intestinal Failure |
| title_fullStr | Infusion Effect on Postoperative Intestinal Failure |
| title_full_unstemmed | Infusion Effect on Postoperative Intestinal Failure |
| title_short | Infusion Effect on Postoperative Intestinal Failure |
| title_sort | infusion effect on postoperative intestinal failure |
| topic | emergency abdominal surgery infusion therapy postoperative intestinal paralysis intestinal failure syndrome intra-abdominal pressure ultrasound visualization of intestinal wall condition |
| url | https://www.reanimatology.com/rmt/article/view/1638 |
| work_keys_str_mv | AT marinavpetrova infusioneffectonpostoperativeintestinalfailure AT andreyvbutrov infusioneffectonpostoperativeintestinalfailure AT andreyvgrechko infusioneffectonpostoperativeintestinalfailure AT nataliyavstepanova infusioneffectonpostoperativeintestinalfailure AT mohammedfinakade infusioneffectonpostoperativeintestinalfailure AT marinanstorchai infusioneffectonpostoperativeintestinalfailure AT rubanesmohan infusioneffectonpostoperativeintestinalfailure AT gulnazrmahmutova infusioneffectonpostoperativeintestinalfailure |