Improving surgical outcomes: it is the destination not the journey
- PMID: 20670387
- PMCID: PMC2945081
- DOI: 10.1186/cc9082
Improving surgical outcomes: it is the destination not the journey
Abstract
Studies have demonstrated that optimising the circulating volume reduces morbidity after major surgery. This optimisation is usually achieved through maximisation of the stroke volume guided by oesophageal Doppler. New monitoring parameters of preload responsiveness using information from the arterial trace are now showing some promise in achieving the same goal. The present commentary examines these new parameters with respect to improving outcomes for the high-risk surgical patient.
Comment on
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Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study.Crit Care. 2010;14(3):R118. doi: 10.1186/cc9070. Epub 2010 Jun 16. Crit Care. 2010. PMID: 20553586 Free PMC article. Clinical Trial.
References
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- Mowatt G, Houston G, Hernández R, de Verteuil R, Fraser C, Cuthbertson B, Vale L. Systematic review of the clinical effectiveness and cost-effectiveness of oesophageal Doppler monitoring in critically ill and high-risk surgical patients. Health Technol Assess. 2009;13(7):iii–iv. - PubMed
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