Chapter 2 Figure 2.4 Perioperative fluid therapy in patients with adequate anastomosis is compared to patients with anastomosis failure requiring anastomosis revision. Maintenance of adequate perfusion pressure was predominantly maintained by administration of fluid therapy. However, in 14 patients, a bolus of ephedrine was used during surgery in order to maintain adequate blood pressure, which had not responded adequately on fluid therapy alone. MAP, which caused the attending anesthesiologist to administer ephedrine, and subsequent increase in MAP are shown in Table 2.3. Additional details of these patients are shown in Table 2.3. The use of ephedrine was associated with a lower total volume of fluid therapy (Figure 2.5); this was however not significant. The use of ephedrine was not related to any complications. Figure 2.5 Perioperative fluid therapy is compared in patients with or without ephedrine. 32
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