Goal-directed haemodynamic therapy: an imprecise umbrella term to avoid

被引：12

作者：

Saugel, Bernd ^{[1
,2
]}

Thomsen, Kristen K. ^{[1
]}

Maheshwari, Kamal ^{[3
,4
]}

机构：

[1] Univ Med Ctr Hamburg Eppendorf, Ctr Anesthesiol & Intens Care Med, Dept Anesthesiol, Hamburg, Germany

[2] Outcomes Res Consortium, Cleveland, OH 44195 USA

[3] Cleveland Clin, Anesthesiol Inst, Dept Outcomes Res, Cleveland, OH USA

[4] Cleveland Clin, Anesthesiol Inst, Dept Gen Anesthesiol, Cleveland, OH USA

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2023年 / 130卷 / 04期

关键词：

arterial pressure; blood pressure; cardiac index; cardiac output; goal-directed therapy; haemodynamic monitoring; pulse pressure variation; stroke volume; MAJOR ABDOMINAL-SURGERY; RISK SURGICAL-PATIENTS; OUTCOMES; TRIAL; METAANALYSIS; COMPLICATIONS; OPTIMIZATION; MANAGEMENT;

D O I：

10.1016/j.bja.2022.12.022

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

' Goal-directed haemodynamic therapy ' describes various haemodynamic treatment strategies that have in common that interventions are titrated to achieve predefined haemodynamic targets. However, the treatment strategies differ substantially regarding the underlying haemodynamic target variables and target values, and thus presumably have different effects on outcome. It is an over-simplifying approach to lump complex and substantially differing haemodynamic treatment strategies together under the term ' goal-directed haemodynamic therapy ', an imprecise umbrella term that we should thus stop using.

引用

页码：390 / 393

页数：4

共 34 条

[1] Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis [J].

Arulkumaran, N. ;

Corredor, C. ;

Hamilton, M. A. ;

Ball, J. ;

Grounds, R. M. ;

Rhodes, A. ;

Cecconi, M. .

BRITISH JOURNAL OF ANAESTHESIA, 2014, 112 (04) :648-659

[2] Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis [J].

Aya, H. D. ;

Cecconi, M. ;

Hamilton, M. ;

Rhodes, A. .

BRITISH JOURNAL OF ANAESTHESIA, 2013, 110 (04) :510-517

[3]

Briesenick L, 2023, ANESTH ANALG

[4] Clinical review: Goal-directed therapy - what is the evidence in surgical patients? The effect on different risk groups [J].

Cecconi, Maurizio ;

Corredor, Carlos ;

Arulkumaran, Nishkantha ;

Abuella, Gihan ;

Ball, Jonathan ;

Grounds, R. Michael ;

Hamilton, Mark ;

Rhodes, Andrew .

CRITICAL CARE, 2013, 17 (02) :209

[5] Does goal-directed haemodynamic and fluid therapy improve peri-operative outcomes? A systematic review and meta-analysis [J].

Chong, Matthew A. ;

Wang, Yongjun ;

Berbenetz, Nicolas M. ;

McConachie, Ian .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2018, 35 (07) :469-483

[6] Perioperative goal-directed therapy in high-risk abdominal surgery. A multicenter randomized controlled superiority trial [J].

de Waal, Eric E. C. ;

Frank, Michael ;

Scheeren, Thomas W. L. ;

Kaufmann, Thomas ;

de Korte-de Boer, Dianne ;

Cox, Boris ;

van Kuijk, Sander M. J. ;

Montenij, L. M. ;

Buhre, Wolfgang .

JOURNAL OF CLINICAL ANESTHESIA, 2021, 75

[7] Optimisation of Perioperative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE II) trial: study protocol for a multicentre international trial of cardiac output-guided fluid therapy with low-dose inotrope infusion compared with usual care in patients undergoing major elective gastrointestinal surgery [J].

Edwards, Mark R. ;

Forbes, Gordon ;

MacDonald, Neil ;

Berdunov, Vladislav ;

Mihaylova, Borislava ;

Dias, Priyanthi ;

Thomson, Ann ;

Grocott, Michael P. W. ;

Mythen, Monty G. ;

Gillies, Mike A. ;

Sander, Michael ;

Phan, Tuong D. ;

Evered, Lisbeth ;

Wijeysundera, Duminda N. ;

McCluskey, Stuart A. ;

Aldecoa, Cesar ;

Ripolles-Melchor, Javier ;

Hofer, Christoph K. ;

Abukhudair, Hussein ;

Szczeklik, Wojciech ;

Grigoras, Ioana ;

Hajjar, Ludhmila A. ;

Kahan, Brennan C. ;

Pearse, Rupert M. ;

MacDonald, Neil ;

Abbott, Tom ;

Martin, Tim ;

Januszewska, Marta ;

Niebrzegowska, Edyta ;

Bekele, Solana ;

Pates, Katherine ;

Haines, Ryan ;

Walker, Sophie ;

Fowler, Alexander ;

Oliveira, Monica ;

Whalley, Jan ;

Stephens, Tim ;

Amaral, Vanessa Da Silva ;

May, Shaun ;

Manou, Vasi ;

Jones, Tim ;

Dunkley, Steven ;

Pakats, Mari-Liis ;

Griffiths, Bethan ;

Fernandez, Maria ;

Edwards, Mark ;

Jonas, Max ;

Bolger, Clare ;

Collings, Nikki ;

Burnish, Rachel .

BMJ OPEN, 2019, 9 (01)

[8] Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials [J].

Giglio, M. T. ;

Marucci, M. ;

Testini, M. ;

Brienza, N. .

BRITISH JOURNAL OF ANAESTHESIA, 2009, 103 (05) :637-646

[9] Hemodynamic goal-directed therapy and postoperative kidney injury: an updated meta-analysis with trial sequential analysis [J].

Giglio, Mariateresa ;

Dalfino, Lidia ;

Puntillo, Filomena ;

Brienza, Nicola .

CRITICAL CARE, 2019, 23

[10]

Giglio M, 2016, MINERVA ANESTESIOL, V82, P1199

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