Effectiveness of central venous pressure versus stroke volume variation in guiding fluid management in renal transplantation.

OBJECTIVE: The aim of this study was to compare the effectiveness of central venous pressure (CVP) versus stroke volume variation (SVV) to guide fluid management in renal transplantation. METHODS: The clinical data of 97 patients who underwent allogeneic renal transplantation in our hospital were collected retrospectively. Based on the method of intraoperative infusion monitoring, they were divided into group A, which received guided fluid management by monitoring CVP, and group B which received guided fluid management by monitoring SVV. The changes in intraoperative hemodynamic indicators, urine volume, blood loss, and total blood transfusion volume, total fluid volume, urine output at different time points after surgery, renal function indicators, blood purification rate, length of stay, and postoperative complications were compared between the two groups. RESULTS: >0.05). CONCLUSION: Compared with CVP, fluid management guided by monitoring SVV during renal transplantation can reduce intraoperative fluid volume, optimize the renal perfusion, reduce postoperative blood purification, and facilitate postoperative recovery.