Does an individualized goal-directed therapy based on cerebral oxygen balance benefit high-risk patients undergoing cardiac surgery? - 20/03/21
Doi : 10.1016/j.jclinane.2021.110189
Elise Bartlett, BS a, Richard D. Urman, MD b, ⁎ 
, Ivan Urits, MD c, Alan D. Kaye, MD PhD d, Omar Viswanath, MD d, e
, Ivan Urits, MD c, Alan D. Kaye, MD PhD d, Omar Viswanath, MD d, e a Pain Specialty Group, Newington, NH, United States of America
b Brigham and Women's Hospital, Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA, United States of America
c Beth Israel Deaconess Medical Center, Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, United States of America
d Louisiana State University Health Shreveport, Department of Anesthesiology, Shreveport, LA, United States of America
e Valley Anesthesiology and Pain Consultants – Envision Physician Services, Phoenix, AZ, United States of America
⁎Corresponding author at: Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA 02115, United States of America.Department of AnesthesiologyPerioperative and Pain MedicineBrigham and Women's HospitalBostonMA02115United States of America
Highlights |
• | There were no differences in the intraoperative time course for MAP, BIS and rScO2 levels. |
• | 72% of patients in GDT group achieved preoperative individual targets compared to 44% in the usual care group. |
• | Study group showed a reduction in infection, low cardiac output syndrome, stroke, delirium and length of ICU stay. |
• | No difference was shown between individualized GDT and standard treatment. |
Plan
© 2021
Elsevier Inc. Tous droits réservés.
Vol 70
Article 110189- juin 2021 Retour au numéro
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