Haemodynamic monitoring in the peri‐operative period: the past, the present and the future

作者: X. Watson , M. Cecconi

DOI: 10.1111/ANAE.13737

关键词:

摘要: Over recent years there has been an increase in the implementation of goal-directed therapy using minimally invasive haemodynamic monitoring techniques to guide peri-operative care. Since introduction pulmonary artery flotation catheter 1980s, various monitors have developed, each associated with their own benefits and limitations. Goal-directed well-established as a standard care period largely reduction morbidity mortality. However, evidence over last few from major studies led us question: what is future for therapy? Care patient significantly evolved decade this needs be taken into account when assessing results these studies. We should therefore not look at effects isolation but part progressive bundle. Additionally, other markers status also begun further appreciated are worthy investigation. feel that remains promising new areas interest continuously emerging, research still required.

参考文章(70)
David Pestaña, Elena Espinosa, Arieh Eden, Diana Nájera, Luis Collar, César Aldecoa, Eva Higuera, Soledad Escribano, Dmitri Bystritski, Javier Pascual, Pilar Fernández-Garijo, Blanca de Prada, Alfonso Muriel, Reuven Pizov, Perioperative goal-directed hemodynamic optimization using noninvasive cardiac output monitoring in major abdominal surgery: a prospective, randomized, multicenter, pragmatic trial: POEMAS Study (PeriOperative goal-directed thErapy in Major Abdominal Surgery). Anesthesia & Analgesia. ,vol. 119, pp. 579- 587 ,(2014) , 10.1213/ANE.0000000000000295
E. Litton, B. Silbert, K. M. Ho, Clinical predictors of a low central venous oxygen saturation after major surgery: a prospective prevalence study Anaesthesia and Intensive Care. ,vol. 43, pp. 59- 65 ,(2015) , 10.1177/0310057X1504300109
H Aya, A Rhodes, RM Grounds, M Cecconi, Minimal volume for a fluid challenge in postoperative patients Critical Care. ,vol. 19, pp. 189- ,(2015) , 10.1186/CC14269
Maurizio Cecconi, Nicola Fasano, Nicola Langiano, Michele Divella, Maria G Costa, Andrew Rhodes, Giorgio Rocca, Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Critical Care. ,vol. 15, pp. 1- 9 ,(2011) , 10.1186/CC10246
Davinder S. Ramsingh, Chirag Sanghvi, Joseph Gamboa, Maxime Cannesson, Richard L. Applegate, Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled trial Journal of Clinical Monitoring and Computing. ,vol. 27, pp. 249- 257 ,(2013) , 10.1007/S10877-012-9422-5
Zhongheng Zhang, Baolong Lu, Xiaoyan Sheng, Ni Jin, Accuracy of stroke volume variation in predicting fluid responsiveness: a systematic review and meta-analysis Journal of Anesthesia. ,vol. 25, pp. 904- 916 ,(2011) , 10.1007/S00540-011-1217-1
William C. Shoemaker, Physiologic Patterns in Surviving and Nonsurviving Shock Patients Archives of Surgery. ,vol. 106, pp. 630- 636 ,(1973) , 10.1001/ARCHSURG.1973.01350170004003
A. F. Connors, The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators JAMA: The Journal of the American Medical Association. ,vol. 276, pp. 889- 897 ,(1996) , 10.1001/JAMA.276.11.889