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Papers of the Week

2020 Aug 21

BMC Anesthesiol



The effect of intraoperative goal-directed crystalloid versus colloid administration on perioperative inflammatory markers – a substudy of a randomized controlled trial.


Obradovic M, Kurz A, Kabon B, Roth G, Kimberger O, Zotti O, Bayoumi A, Reiterer C, Stift A, Fleischmann E
BMC Anesthesiol. 2020 Aug 21; 20(1):210.
PMID: 32825817.


Excessive perioperative fluid administration may result in iatrogenic endothelial dysfunction and tissue edema, transducing inflammatory markers into the bloodstream. Colloids remain longer in the circulation, requiring less volume to reach similar hemodynamic endpoints compared to crystalloids. Thus, we tested the hypothesis that a goal-directed colloid regimen attenuates the inflammatory response compared to a goal-directed crystalloid regime.