Perioperative haemodynamic therapy

Mikhail Y. Kirov, Vsevolod V. Kuzkov, Z. Molnár

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose of review: To discuss the perioperative monitoring tools and targets for haemodynamic optimization and to assess the influence of goal-directed therapy (GDT) on organ function, complications and outcome in different categories of surgical patients. Recent findings: The choice of perioperative haemodynamic monitoring for GDT depends on the surgeryrelated and the patient-related risk. Conventional monitoring and minimally invasive approaches can be used for perioperative optimization of low-risk to moderate-risk patients. Thermodilution methods and continuous cardiac output/oxygen transport monitoring are the most reliable techniques for major surgery and high-risk/unstable patients. An important goal of perioperative haemodynamic therapy is to maintain cardiac function and organ perfusion, optimizing the balance between oxygen delivery and consumption. Several studies, using different monitoring tools and end-points, have shown that GDT provides optimal haemodynamic performance, improves organ function, reduces the number of complications and time to ICU and hospital discharge and decreases the mortality rate in high-risk surgical patients. Summary: GDT provides a number of benefits in major surgery. Based on adequate monitoring, the goal-directed algorithms facilitate early detection of pathophysiological changes and influence the perioperative haemodynamic therapy that can improve the clinical outcome. The perioperative GDT should be early, adequate and individualized for every patient.

Original languageEnglish
Pages (from-to)384-392
Number of pages9
JournalCurrent Opinion in Critical Care
Volume16
Issue number4
DOIs
Publication statusPublished - Aug 2010

Fingerprint

Hemodynamics
Therapeutics
Thermodilution
Oxygen Consumption
Cardiac Output
Perfusion
Oxygen
Mortality

Keywords

  • Goal-directed therapy
  • Haemodynamics
  • Monitoring
  • Outcome
  • Perioperative period

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Perioperative haemodynamic therapy. / Kirov, Mikhail Y.; Kuzkov, Vsevolod V.; Molnár, Z.

In: Current Opinion in Critical Care, Vol. 16, No. 4, 08.2010, p. 384-392.

Research output: Contribution to journalArticle

Kirov, Mikhail Y. ; Kuzkov, Vsevolod V. ; Molnár, Z. / Perioperative haemodynamic therapy. In: Current Opinion in Critical Care. 2010 ; Vol. 16, No. 4. pp. 384-392.
@article{353ad99981af4792b124d8cb400fa1e2,
title = "Perioperative haemodynamic therapy",
abstract = "Purpose of review: To discuss the perioperative monitoring tools and targets for haemodynamic optimization and to assess the influence of goal-directed therapy (GDT) on organ function, complications and outcome in different categories of surgical patients. Recent findings: The choice of perioperative haemodynamic monitoring for GDT depends on the surgeryrelated and the patient-related risk. Conventional monitoring and minimally invasive approaches can be used for perioperative optimization of low-risk to moderate-risk patients. Thermodilution methods and continuous cardiac output/oxygen transport monitoring are the most reliable techniques for major surgery and high-risk/unstable patients. An important goal of perioperative haemodynamic therapy is to maintain cardiac function and organ perfusion, optimizing the balance between oxygen delivery and consumption. Several studies, using different monitoring tools and end-points, have shown that GDT provides optimal haemodynamic performance, improves organ function, reduces the number of complications and time to ICU and hospital discharge and decreases the mortality rate in high-risk surgical patients. Summary: GDT provides a number of benefits in major surgery. Based on adequate monitoring, the goal-directed algorithms facilitate early detection of pathophysiological changes and influence the perioperative haemodynamic therapy that can improve the clinical outcome. The perioperative GDT should be early, adequate and individualized for every patient.",
keywords = "Goal-directed therapy, Haemodynamics, Monitoring, Outcome, Perioperative period",
author = "Kirov, {Mikhail Y.} and Kuzkov, {Vsevolod V.} and Z. Moln{\'a}r",
year = "2010",
month = "8",
doi = "10.1097/MCC.0b013e32833ab81e",
language = "English",
volume = "16",
pages = "384--392",
journal = "Current Opinion in Critical Care",
issn = "1070-5295",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Perioperative haemodynamic therapy

AU - Kirov, Mikhail Y.

AU - Kuzkov, Vsevolod V.

AU - Molnár, Z.

PY - 2010/8

Y1 - 2010/8

N2 - Purpose of review: To discuss the perioperative monitoring tools and targets for haemodynamic optimization and to assess the influence of goal-directed therapy (GDT) on organ function, complications and outcome in different categories of surgical patients. Recent findings: The choice of perioperative haemodynamic monitoring for GDT depends on the surgeryrelated and the patient-related risk. Conventional monitoring and minimally invasive approaches can be used for perioperative optimization of low-risk to moderate-risk patients. Thermodilution methods and continuous cardiac output/oxygen transport monitoring are the most reliable techniques for major surgery and high-risk/unstable patients. An important goal of perioperative haemodynamic therapy is to maintain cardiac function and organ perfusion, optimizing the balance between oxygen delivery and consumption. Several studies, using different monitoring tools and end-points, have shown that GDT provides optimal haemodynamic performance, improves organ function, reduces the number of complications and time to ICU and hospital discharge and decreases the mortality rate in high-risk surgical patients. Summary: GDT provides a number of benefits in major surgery. Based on adequate monitoring, the goal-directed algorithms facilitate early detection of pathophysiological changes and influence the perioperative haemodynamic therapy that can improve the clinical outcome. The perioperative GDT should be early, adequate and individualized for every patient.

AB - Purpose of review: To discuss the perioperative monitoring tools and targets for haemodynamic optimization and to assess the influence of goal-directed therapy (GDT) on organ function, complications and outcome in different categories of surgical patients. Recent findings: The choice of perioperative haemodynamic monitoring for GDT depends on the surgeryrelated and the patient-related risk. Conventional monitoring and minimally invasive approaches can be used for perioperative optimization of low-risk to moderate-risk patients. Thermodilution methods and continuous cardiac output/oxygen transport monitoring are the most reliable techniques for major surgery and high-risk/unstable patients. An important goal of perioperative haemodynamic therapy is to maintain cardiac function and organ perfusion, optimizing the balance between oxygen delivery and consumption. Several studies, using different monitoring tools and end-points, have shown that GDT provides optimal haemodynamic performance, improves organ function, reduces the number of complications and time to ICU and hospital discharge and decreases the mortality rate in high-risk surgical patients. Summary: GDT provides a number of benefits in major surgery. Based on adequate monitoring, the goal-directed algorithms facilitate early detection of pathophysiological changes and influence the perioperative haemodynamic therapy that can improve the clinical outcome. The perioperative GDT should be early, adequate and individualized for every patient.

KW - Goal-directed therapy

KW - Haemodynamics

KW - Monitoring

KW - Outcome

KW - Perioperative period

UR - http://www.scopus.com/inward/record.url?scp=78449271060&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78449271060&partnerID=8YFLogxK

U2 - 10.1097/MCC.0b013e32833ab81e

DO - 10.1097/MCC.0b013e32833ab81e

M3 - Article

C2 - 20508520

AN - SCOPUS:78449271060

VL - 16

SP - 384

EP - 392

JO - Current Opinion in Critical Care

JF - Current Opinion in Critical Care

SN - 1070-5295

IS - 4

ER -