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Review
. 2015 May 8;19(1):224.
doi: 10.1186/s13054-015-0932-7.

Perioperative cardiovascular monitoring of high-risk patients: a consensus of 12

Jean-Louis Vincent  1 , Paolo Pelosi  2 , Rupert Pearse  3 , Didier Payen  4 , Azriel Perel  5 , Andreas Hoeft  6 , Stefano Romagnoli  7 , V Marco Ranieri  8 , Carole Ichai  9 , Patrice Forget  10 , Giorgio Della Rocca  11 , Andrew Rhodes  12
Affiliations
Review

Perioperative cardiovascular monitoring of high-risk patients: a consensus of 12

Jean-Louis Vincent et al. Crit Care. .

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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Figures

Figure 1
Figure 1
The compromise between accuracy and invasiveness of monitoring systems. CO, cardiac output; PA, pulmonary artery.
Figure 2
Figure 2
Possible choice of monitoring system in relation to a patient’s degree of perioperative risk. CO, cardiac output; PAC, pulmonary artery catheter; PPV, pulse pressure variation; ScvO2, central venous oxygen saturation.
Figure 3
Figure 3
Both hypo- and hypervolemia are associated with more complications. CVA, cerebrovascular accident; MOF, multiple organ failure.
See this image and copyright information in PMC

References

    1. Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372:139–44. - PubMed
    1. Jhanji S, Thomas B, Ely A, Watson D, Hinds CJ, Pearse RM. Mortality and utilisation of critical care resources amongst high-risk surgical patients in a large NHS trust. Anaesthesia. 2008;63:695–700. - PubMed
    1. Pearse RM, Harrison DA, James P, Watson D, Hinds C, Rhodes A, et al. Identification and characterisation of the high-risk surgical population in the UK. Crit Care. 2006;10:R81. - PMC - PubMed
    1. Lobo SM, de Oliveira NE. Clinical review: What are the best hemodynamic targets for noncardiac surgical patients? Crit Care. 2013;17:210. - PMC - PubMed
    1. Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242:326–41. - PMC - PubMed

MeSH terms