Perioperative Cardiovascular Monitoring of High-risk Patients: a Consensus of 12

Overview

Journal Crit Care

Specialty Critical Care

Date 2015 May 9

PMID 25953531

Citations 79

Authors

Jean-Louis Vincent

Paolo Pelosi

Rupert Pearse

Didier Payen

Azriel Perel

Andreas Hoeft

Stefano Romagnoli

V Marco Ranieri

Carole Ichai

Patrice Forget

Giorgio Della Rocca

Andrew Rhodes

Affiliations

Soon will be listed here.

Abstract

A significant number of surgical patients are at risk of intra- or post-operative complications or both, which are associated with increased lengths of stay, costs, and mortality. Reducing these risks is important for the individual patient but also for health-care planners and managers. Insufficient tissue perfusion and cellular oxygenation due to hypovolemia, heart dysfunction or both is one of the leading causes of perioperative complications. Adequate perioperative management guided by effective and timely hemodynamic monitoring can help reduce the risk of complications and thus potentially improve outcomes. In this review, we describe the various available hemodynamic monitoring systems and how they can best be used to guide cardiovascular and fluid management in the perioperative period in high-risk surgical patients.

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