Role of Perioperative Hemodynamic Optimization in Reducing Perioperative Mortality

摘要: Perioperative mortality in non-cardiac surgery is still above the level expected despite anesthetic and surgical progress made (>10 % high-risk patients). Different techniques treatments were introduced clinical practice to improve outcome. Among considered hemodynamic optimization (goal-directed therapy); it involves monitoring pharmacological manipulation of cardiovascular function with aim maintaining a constant tissue oxygenation. Four meta-analyses randomized controlled trials concerning are meaningful evidence on perioperative decrease mortality. Goal-directed therapy allows counterbalance increased oxygen consumption adequate delivery, preventing hypoxia. A key element given by CO or CI, as can be rapidly monitored adapted patient’s bedside. systems different methods invasiveness estimate stroke volume (SV) and, from this, obtain cardiac output value. In conclusion, effective significantly reducing when perfusion maintained through broader management that patient before, during, after surgery.