Volumen de cristaloide empleado en el intraoperatorio y factores asociados en pacientes sometidos a cirugia abdominal laparoscopica. Hospital Vicente Corral Moscoso. Cuenca, 2021

Abstract

Background: All patients undergoing surgery receive intravenous fluid therapy, these requirements have decreased due to the implementation of less invasive surgical techniques and the knowledge of the damage of overhydration, making it necessary to know the factors associated with the calculation of the volume of crystalloid used in the intraoperative period (liberal , restrictive, standard), since there is great variability in its prescription and definition. Objective: To determine the volume of crystalloid used in the intraoperative period and associated factors in patients undergoing laparoscopic abdominal surgery at the Vicente Corral Moscoso Hospital. Cuenca, 2021. Methods: An observational, analytical, cross-sectional study was carried out, whose universe was made up of the medical records of patients over 18 years of age who underwent laparoscopic abdominal surgery who met the inclusion criteria; The sample consisted of 350 patients and to determine the degree of association with the factors, the OR was calculated with its 95% CI and the p value with significance of less than 0.05; the results were presented in tables. Conclusions: In 76% of cases the standard volume (5-10 ml/Kg/h) was used; individual volume decisions were associated with the patient's weight, with the presence of intraoperative hypotension, type and priority of surgery.