2023
DOI: 10.59249/joap6662
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Current Commonly Used Dynamic Parameters and Monitoring Systems for Perioperative Goal-Directed Fluid Therapy: A Review

Abstract: Goal-directed fluid therapy (GDFT) is usually recommended in patients undergoing major surgery and is essential in enhanced recovery after surgery (ERAS) protocols. This fluid regimen is usually guided by dynamic hemodynamic parameters and aims to optimize patients' cardiac output to maximize oxygen delivery to their vital organs. While many studies have shown that GDFT benefits patients perioperatively and can decrease postoperative complications, there is no consensus on which dynamic hemodynamic parameters … Show more

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Cited by 11 publications
(17 citation statements)
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References 133 publications
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“…TEE can intermittently measure the CO , however, with less accuracy than the PAC and both methods cannot be used interchangeably for CO measurement [18,99]. TEE can help guide fluid responsiveness and goal-directed therapy by measuring the respiratory variation in stroke volume (SVV), peak aortic blood flow velocity (ΔVpeak), and inferior and superior vena cava sizes [9 ▪▪ ,21,41]. TEE can confirm correct bypass cannula placement in veno-venous bypass and can evaluate the adequacy of veno-venous bypass flow and quickly diagnose life-threatening complications [2 ▪ ].…”
Section: Transesophageal Echocardiographymentioning
confidence: 99%
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“…TEE can intermittently measure the CO , however, with less accuracy than the PAC and both methods cannot be used interchangeably for CO measurement [18,99]. TEE can help guide fluid responsiveness and goal-directed therapy by measuring the respiratory variation in stroke volume (SVV), peak aortic blood flow velocity (ΔVpeak), and inferior and superior vena cava sizes [9 ▪▪ ,21,41]. TEE can confirm correct bypass cannula placement in veno-venous bypass and can evaluate the adequacy of veno-venous bypass flow and quickly diagnose life-threatening complications [2 ▪ ].…”
Section: Transesophageal Echocardiographymentioning
confidence: 99%
“…PWA accuracy is improved when monitoring the femoral artery instead of the radial artery [49]. PWA devices measure the SVV, which is a reliable indicator for fluid responsiveness and a cornerstone of goal-directed hemodynamic therapy [9 ▪▪ ,22,37,41,68 ▪▪ ]. In liver transplantation, SVV of 10% discriminated fluid responders from nonresponders with a 93% sensitivity and 94% specificity [37,41].…”
Section: Pulse Wave Analysis Based - Cardiac Outputmentioning
confidence: 99%
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