Why the study?
Does perioperative haemodynamic goal-directed therapy reduce mortality and morbidity in adult patients undergoing cardiac and vascular surgery?
Population
11 RCTs pooling 1,179 adult patients undergoing cardiac (5 RCTs) or vascular (6 RCTs) surgery.
Comparison
Perioperative haemodynamic goal-directed therapy… vs Standard haemodynamic management.
Design
Meta-analysis
Follow-up
postoperative period
Authors
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Supports GDT in cardiac surgery to reduce complications without mortality benefit; confirms no effect in vascular patients.
Does perioperative haemodynamic goal-directed therapy reduce mortality and morbidity in adult patients undergoing cardiac and vascular surgery?
Perioperative goal-directed therapy reduces postoperative complications in cardiac surgery patients but does not appear to affect outcomes in vascular surgery or overall mortality.
Giglio et al. (2012) studied this question.
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