The application of Flotrac/Vigileo guided goal-directed fluid therapy in patients over 80 years of age undergoing artificial femoral head replacement
LIU Xiaomei
ZHAO Haitao
YANG Yahong
FU Jiannan
FAN Fanfan
LI Jun
Abstract：Objective To evaluate the value of Flotrac/Vigileo monitoring system guided goal-directed fluid therapy ( GDFT ) in patients over 80 years of age undergoing artificial femoral head replacement. Methods Sixty patients aged over 80 undergoing artificial femoral head replace-ment were randomly divided into two groups:Goal-directed fluid therapy group ( Group G) and tradi-tional fluid therapy group ( Group C) . Group G received goal-directed fluid therapy based on mean arterial pressure, cardiac index, stroke volume index and stroke volume variation, whereas group C received traditional fluid therapy based on central venous pressure, mean arterial pressure and urina-ry output. The hemoglobin, crystalloid requirements, colloid requirements, banked blood require-ments,total fluid volume infused, urinary output, bleeding volume, vasoactive drugs and hemody-namics during the operation were recorded. Results The colloid volume, total fluid volume in-fused, and urinary out put during the operation were significantly higher in group G compared with group C ( P<0. 05) , while banked blood requirements in group G was lower than that in group C ( P<0. 05) . Conclusion Flotrac/Vigileo guided goal-directed fluid therapy improves hemodynamic status in patients aged over 80 years of age undergoing artificial femoral head replacement.
Keywords：Flotrac/Vigileo monitoring systemGoal-directed fluid therapyArtificial femo-ral head replacementSenile
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 96-99 )