Goal directed therapy - prevention of the complications in the early postoperative period

被引：0

作者：

Kucewicz, Ewa ^{[1
]}

Drwila, Rafal ^{[2
]}

Krawczyk, Karol ^{[3
]}

Kruczak, Wojciech ^{[4
]}

Prokopowicz, Jacek ^{[5
]}

Toczek, Krzysztof ^{[6
]}

Urbanska, Ewa ^{[1
]}

Zietkiewicz, Miroslaw ^{[2
]}

Misiolek, Hanna ^{[7
]}

Knapik, Piotr ^{[1
]}

机构：

[1] Slaskiego Uniwersytetu Med, Slaskie Ctr Chorob Serca, Oddzial Klin Kardioanestezji & Intensywnej Terapi, PL-41800 Zabrze, Poland

[2] Uniwersytetu Jagiellonskiego, Katedra Anestezj & Intensywnej Terapii, Coll Med, Krakow, Poland

[3] Wojskowy Inst Med, Warsaw, Poland

[4] Samodzielny Publ Szpital Klin 7, Gornoslaskie Ctr Med, Katowice, Poland

[5] Inst Gruzlicy & Chorob Pluc, Oddzial Anestezjol & Intensywnej Terapii, Warsaw, Poland

[6] Wojskowy Szpital Klin 4 Poliklin, Wroclaw, Poland

[7] Slaskiego Uniwersytetu Med, Klin Anestezjol & Intensywnej Terapii Slaskiego, Zabrze, Poland

来源：

KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA | 2011年 / 8卷 / 03期

关键词：

hemodynamic monitoring; cardiac surgery; postoperative period; GLUCOSE-METABOLISM; CARDIOGENIC-SHOCK; CARDIAC-SURGERY; RISK-FACTORS; HYPERLACTATEMIA; LACTATE;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

There is evidence that perioperative goal-directed therapy (GDT) based on flow-related hemodynamic parameters improves patient outcome, particularly in high-risk patients. Mean arterial blood pressure and central venous pressure are routinely used to monitor hemodynamics but no information on blood flow can be obtained with MAP or CVP. Enhanced hemodynamic monitoring seems to be crucial in the guidance of perioperative volume therapy and cardiocirculatory support. We present different methodes of hemodynamic monitoring - pulmonary artery catheter, esophagus Doppler, FlowTrac/Vigileo. PICCO, SvO(2) and lactat concentrations. Using a optimization protocol based on enhanced hemodynamic variables it is possible to folow the results of the implemented therapy.

引用

页码：374 / 378

页数：5

共 14 条

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