ABSTRACT
LLOREN MCKENZIE HILE. Effect of Stroke Volume Variation Monitoring on Acute Kidney Injury after Robotic Enhanced Recovery Protocol Surgery.
(Under the direction of DR. DAVID LANGFORD)
Acute kidney injury (AKI) is one of the most common complications after abdominal, colorectal, and gynecologic surgeries at a large urban trauma center in the southeast. This is exacerbated by the conditions of robotic enhanced recovery protocol (ERP) procedures. Robotic surgery and enhanced recovery protocols each have characteristics that lead to an increased risk of acute kidney injury. Stroke volume variation (SVV) is obtained from an invasive monitor that can measure the fluid balance of an individual under general anesthetic with mechanical ventilation. This measure is not used for every procedure in the operating room, and is typically reserved for high-risk individuals or specific procedures. This project used a retrospective correlational approach to examine the difference in AKI occurrence between a group with SVV monitoring and a group without SVV monitoring. The data was collected from the electronic medical record from May 2022 through August 2022. These groups had similar age and gender profiles. The non-SVV group had a higher average anesthesia time and American Society of Anesthesiologists (ASA) score. The non-SVV group had a 15% occurrence of AKI, while the SVV group had 0% AKI occurrence. This project shows a correlation between SVV monitoring and a decreased occurrence of AKI and suggests that SVV monitoring should be considered for patients at a high risk of developing an acute kidney injury.