STROKE VOLUME VARIATION GUIDED FLUID MANAGEMENT INTRA OPERATIVELY USING CARDIAC OUTPUT MONITOR IN A CASE OF CRANIO FACIAL RESECTION

Abstract

Early aggressive resuscitation of critically ill patients may limit or reverse tissue hypoxia, progression to organ failure, and improve outcome. Similarly, a protocol to optimize preload and cardiac output in patients undergoing major surgery reduced postoperative complications and length of stay. However, overzealous fluid resuscitation has been associated with increased complications, increased length of intensive care unit (ICU) and hospital stay, and increased mortality.Cardiac filling pressure including CVP and pulmonary artery occlusion pressure have been traditionally used to guide fluid management. Studies conducted over past decades demonstrate that cardiac filling pressures are unable to predict fluid responsiveness Currently stroke volume variation that normally occur during phases of respiratory cycle is used as guide for fluid responsiveness during major surgeries.