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Review
. 2013 Dec;41(6):191-4.
doi: 10.5152/TJAR.2013.1630. Epub 2013 Dec 1.

Can we Improve Outcome in High Risk Surgery?

Andras Mikor  1 , Zsolt Molnar  1
Affiliations
Review

Can we Improve Outcome in High Risk Surgery?

Andras Mikor et al. Turk J Anaesthesiol Reanim. 2013 Dec.

Abstract

Despite the small number of high-risk surgical patients in comparison to all surgical patients, they account for the largest proportion of overall perioperative mortality. Goal directed hemodynamic support may result in a lower incidence of complications and reduced length of hospital stay in these patients. Beyond the standard monitoring of circulation, such as blood pressure and heart rate, further parameters and procedures such as pulse pressure/stroke volume variation-, stroke volume/cardiac index-, and central venous oxygen saturation-guided resuscitation may improve the outcome of high-risk surgical patients. The aim of this review is to focus on the results of animal and clinical studies investigating the usefulness of these indices in the context of goal-directed perioperative support.

Keywords: High-risk surgery; central venous oxygen saturation; goal directed therapy; improved outcome; pulse pressure variation; stroke volume.

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Figures

Figure 1
Figure 1
Effects of ScvO2-assisted vs. conventional intraoperative hemodynamic support (42) A) Colloid; B) Norepinephrine; C) Urine output. Data are presented as median and interquartile range, statistical analysis was performed by Mann-Whitney U test; *, p<0.05
See this image and copyright information in PMC

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