Reference | Intervention/exposure | Group size, n | Age, mean (SD) | Male, % | ASA I–II, % | ASA III–IV, % | Duration of surgery, mean (SD) | Mortality, % (days) |
---|---|---|---|---|---|---|---|---|
Bihari [44] | Restrictive fluid regime at induction, intra-operative and post-operative | 75 | 65, 13 | 32 | 34 | 66 | 132 (90,168)a | 0 (90) 4 (365) |
Liberal fluid regime at induction, intra-operative and post-operative | 86 | 67, 14 | 45 | 27 | 73 | 150 (102,204)a | 0 (90) 2 (365) | |
Liu [43] | High-volume fluid (LR/HES) regime, post-induction | 14 | 52, 8 | 50 | 100 | 0 | 181, 45 | – |
Medium-volume fluid (LR/HES) regime, post-induction | 17 | 51, 7 | 41 | 100 | 0 | 169, 49 | – | |
Low-volume fluid (LR/HES) regime, post-induction | 16 | 50, 9 | 75 | 100 | 0 | 171, 54 | – | |
Tapking [46] | Total fluid administration | 39 | 45, 21 | 82 | N/A | N/A | N/A | 8 (in-hospital) |
Wang [40] | Higher-volume fluid regime (LR) targeted at SVV 9%, intra-operative | 40 | 49, 13 | 55 | 100 | 0 | 325, 78 | 5 (365) |
Lower-volume fluid regime (LR) targeted at SVV 14%, intra-operative | 39 | 47, 13 | 49 | 100 | 0 | 349, 90 | 8 (365) | |
Nemme [41] | Rapid-rate crystalloid bolus (LR) at 25 mL/kg, post-induction | 24 | 47, 5 | 0 | – | 0 | – | – |
Li [42] | Fluid loading (HES) at 15 mL/kg over 30 min, post-induction | 40 | 47, 8 | 70 | 100 | 0 | 229, 77 | – |
Pouska [36] | Fast fluid bolus over 5–10 min, post-induction | 25 | 60, 13 | 44 | 56 | 44 | – | – |
Slow fluid bolus over 25–30 min, post-induction | 25 | 62, 15 | 40 | 72 | 24 | – | – | |
Belavić [39] | High-liberal fluid regime (LR) at 10-15 mL/kg/h intra-/postoperatively | 30 | 57 (41,63)a | 23 | 100 | 0 | 55 (50,70)a,b | – |
Low-liberal fluid regime (LR) at 5 mL/kg/h intra-/postoperatively | 30 | 61 (41,70)a | 30 | 100 | 0 | 58 (50,81)a,b | – | |
Restrictive fluid regime (LR) at 1 mL/kg/h intra-/postoperatively | 30 | 48 (40,62)a,b | 27 | 100 | 0 | 58 (50,67)a,b | – | |
Chappell [38] | Fluid loading (HES) at 20 mL/kg over 15 min, post-induction | 9 | 57, 4 | – | – | – | – | – |
Acute normovolemic hemodilution (HES) at 60 mL/min, post-induction | 9 | 55, 2 | – | – | – | – | – | |
Powell [37] | Fluid bolus 750 mL (warmed LR) over 15 min, pre-induction | 29 | – | – | – | – | – | – |
Berg [45] | Fluid bolus 1000 mL (LR) over 40 min | 12 | 26, 4 | 67 | N/A | N/A | – | – |