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Practice Guideline
. 2024 Oct;38(5):945-959.
doi: 10.1007/s10877-024-01132-7. Epub 2024 Feb 21.

Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies

Bernd Saugel  1   2 , Thorsten Annecke  3 , Berthold Bein  4 , Moritz Flick  5 , Matthias Goepfert  6 , Matthias Gruenewald  7 , Marit Habicher  8 , Bettina Jungwirth  9 , Tilo Koch  10 , Karim Kouz  5   11 , Agnes S Meidert  12 , Gunther Pestel  13 , Jochen Renner  14 , Samir G Sakka  15 , Michael Sander  8 , Sascha Treskatsch  16 , Amelie Zitzmann  17 , Daniel A Reuter  17
Affiliations
Practice Guideline

Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies

Bernd Saugel et al. J Clin Monit Comput. 2024 Oct.

Abstract

Haemodynamic monitoring and management are cornerstones of perioperative care. The goal of haemodynamic management is to maintain organ function by ensuring adequate perfusion pressure, blood flow, and oxygen delivery. We here present guidelines on "Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery" that were prepared by 18 experts on behalf of the German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin; DGAI).

Keywords: Arterial pressure; Cardiac output; Echocardiography; Haemodynamic monitoring; Heart rate; Stroke volume.

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Conflict of interest statement

The experts declared their conflicts of interest in writing using a form sheet (https://register.awmf.org/de/leitlinien/detail/001-049). BS is a consultant for Edwards Lifesciences, Philips North America, Baxter, GE Healthcare, Maquet Critical Care, Pulsion Medical Systems, Vygon, and Retia Medical. BS has received honoraria for giving lectures from Edwards Lifesciences, Philips Medizin Systeme, Baxter, GE Healthcare, CNSystems Medizintechnik, Getinge, Pulsion Medical Systems, Vygon. BS was a consultant for Tensys Medical. BS has received institutional restricted research grants from Edwards Lifesciences, Baxter, GE Healthcare, CNSystems Medizintechnik, Pulsion Medical Systems, Retia Medical, Osypka Medical, and Tensys Medical. BS is an Editor of the British Journal of Anaesthesia. TA has received honoraria for giving lectures from FomF Deutschland, Anästhesiologie Forschung und Fortbildung e.V., and CSL Behring. TA has received institutional restricted research grants from Corpuls and Cytosorbents. BB is a consultant for Edwards Lifesciences, Gruenenthal, CSL Behring, and Pharmacosmos. MF has received honoraria for giving lectures from Edwards Lifesciences and CNSystems Medizintechnik. MF has received institutional restricted research grants from CNSystems Medizintechnik. MGo is a consultant for Ebnet Medical. MGr is a consultant for GE Healthcare and Johnson & Johnson. MGr has received honoraria for giving lectures from Edwards Lifesciences, Medtronic, and Gruenenthal. MH is a consultant for Edwards Lifesciences and Baxter. BJ has received institutional restricted research grants from Löwenstein Medical Innovation. TK is a consultant for ratiopharm GmbH. KK is a consultant for Edwards Lifesciences and Vygon. KK has received honoraria for giving lectures from Edwards Lifesciences. ASM has received honoraria for giving lectures from Edwards Lifesciences. GP has received institutional restricted research grants from Nihon-Kohden, Edwards Lifesciences, CNSystems Medizintechnik, Masimo, and Deltex Medical. JR has received honoraria for giving lectures from Edwards Lifesciences. SGS is a consultant for Maquet and Getinge. MS is a consultant for Edwards Lifesciences. MS has received honoraria for giving lectures from Edwards Lifesciences, BTG, and Orion Pharma. MS has received institutional restricted research grants from Edwards Lifesciences and Medtronic. ST has received honoraria for giving lectures from Edwards Lifesciences, Orion Pharma, Philips, Amomed, and Cytosorbents. ST has received institutional restricted research grants from Edwards Lifesciences, Orion Pharma, and Cytosorbents. AZ has received honoraria for giving lectures from Edwards Lifesciences. DAR is a consultant for Edwards Lifesciences. DAR has received honoraria for giving lectures from Löwenstein Medical Innovation. DAR has received institutional restricted research grants from Edwards Lifesciences, Getinge, Sentec, Artcline, and Cytosorbents.

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