Effective and timely hemodynamic monitoring can guide perioperative cardiovascular and fluid management to potentially reduce complications in high-risk surgical patients.
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May support hemodynamic-guided perioperative care in high-risk surgery; leaves open need for RCTs to confirm outcome benefits.
A significant number of surgical patients are at risk of intra- or post-operative complications or both, which are associated with increased lengths of stay, costs, and mortality. Reducing these risks is important for the individual patient but also for health-care planners and managers. Insufficient tissue perfusion and cellular oxygenation due to hypovolemia, heart dysfunction or both is one of the leading causes of perioperative complications. Adequate perioperative management guided by effective and timely hemodynamic monitoring can help reduce the risk of complications and thus potentially improve outcomes. In this review, we describe the various available hemodynamic monitoring systems and how they can best be used to guide cardiovascular and fluid management in the perioperative period in high-risk surgical patients.
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Vincent et al. (2015) studied this question.
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