Why the study?
Does goal directed therapy reduce morbidity and mortality in patients undergoing high risk surgery?
Does goal directed therapy reduce morbidity and mortality in patients undergoing high risk surgery?
Goal directed therapy to ensure adequate oxygen delivery reduces morbidity and mortality in high-risk surgery, even if initiated postoperatively.
Intensive monitoring and aggressive management of perioperative haemodynamics (goal directed therapy) have repeatedly been reported to reduce the significant morbidity and mortality associated with high risk surgery. It may not matter what particular monitor is used to assess cardiac output but it is essential to ensure adequate oxygen delivery. If this management cannot begin preoperatively, it is still worth beginning goal directed therapy in the immediate postoperative period.
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Gordon et al. (2005) studied this question.
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