Perioperative hemodynamic optimization: a revised approach - 26/09/14
: Professor of Medicine; Chief, Division of Pulmonary and Critical Care MedicineAbstract |
Contemporary data suggest that approximately 18% of patients undergoing surgery will develop a major postoperative complication, and 3% to 5% will die prior to hospital discharge. Patients who develop a postoperative complication are at an increased risk of long-term mortality. Multiple studies have shown that perioperative hemodynamic optimization reduces the risk of postoperative complications and death in elective noncardiac surgical patients.
Le texte complet de cet article est disponible en PDF.Highlights |
• | 18% of patients undergoing surgery will develop a major postoperative complication |
• | Postoperative complications increase the risk of long term mortality |
• | Perioperative hemodynamic optimization reduces the risk of complications |
• | An oxygen debt is incurred in the immediate postoperative period |
• | Hemodynamic optimization should continue for up to 12 hours following surgery |
Keywords : Cardiac output, central venous oxygen saturation, goal-directed hemodynamic therapy, hemodynamic optimization, oxygen debt, perioperative care, postoperative complications
Plan
| ☆ | Conflict of interest: The author has no real or perceived conflict of interest or financial interest in any of the products mentioned in this paper. |
Vol 26 - N° 6
P. 500-505 - septembre 2014 Retour au numéro
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