Guidelines for perioperative haemodynamic optimization

Vallet, B.; Blanlœil, Y.; Cholley, Bernard; Orliaguet, Gilles; Plutniak, Sébastien; Tavernier, B.

doi:10.1016/j.annfar.2013.09.010

Cited by 164 publications

(82 citation statements)

References 25 publications

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“…Other alternatives have been described to predict fluid responsiveness, such as the passive leg raising test [20], the variability of inferior vena cava diameter, the mini-fluid challenge [21], or the end-expiratory occlusion test [8]. Moreover, the volume titration according to stroke volume (SV) measurement could be recommended for high risk surgical patients in order to maximize SV and limit the risk of hypoperfusion [22].…”

Section: Discussionmentioning

confidence: 99%

Arterial pulse pressure variation suitability in critical care: A French national survey

Fischer

Mahjoub

Boisselier

et al. 2015

Anaesthesia Critical Care & Pain Medicine

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Section: Discussionmentioning

confidence: 99%

Arterial pulse pressure variation suitability in critical care: A French national survey

Fischer

Mahjoub

Boisselier

et al. 2015

Anaesthesia Critical Care & Pain Medicine

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“…Recently, GDT evidence has been considered strong enough to allow for the creation of national recommendations in the UK, in France, and by the European Society of Anaesthesiology [20][21][22]. GDT has been recognized as the standard of care in the anesthesiology setting because it has demonstrated strong clinical evidence and benefit in reducing rates of postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

Guiding Goal-Directed Therapy

Suehiro

Joosten

Alexander

2014

Curr Anesthesiol Rep

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Several studies have demonstrated that perioperative hemodynamic optimization (or ''goal directed therapy'') using minimally invasive hemodynamic monitoring technologies has the ability to improve postoperative patients' outcome with lower complication rates, shorter hospital lengths of stay, and lower cost of surgery. This specific concept of goal-directed therapy (GDT) uses perioperative cardiac output monitoring and manipulation of physiologic parameters (dynamic parameters of fluid responsiveness) to guide intravenous fluids and inotropic therapy with the goal of ensuring adequate tissue perfusion. Recently, the evidence related to the implementation of GDT strategies has been considered strong enough to allow for the creation of national recommendations in the UK, in France, and by the European Society of Anaesthesiology. The aims of the programs are to apply best practices to high-risk surgical patients and requires the participation of all clinicians involved in patients' care. Considering the potential clinical and economic benefits of GDT protocols and the positive recommendations from influential scientific societies, more and more hospitals around the world have become interested in implementing hemodynamic optimization in their departments. This review provides the information about the evolution of hemodynamic monitoring from invasive to the more recent noninvasive devices, and how these devices can be used in the operating rooms through well-defined algorithms of GDT.

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“…These methods are mostly used in university hospitals. A survey published in 2011 showed that only 35% of anaesthesiologists in the United States and Europe use cardiac output monitoring in high-risk patients [31]. Problems with adopting this strategy stem from the lack of clear indications for monitoring (i.e., in which patient population), the lack of a clear universal algorithm, as well as financial and staffing issues.…”

Section: General Considerationsmentioning

confidence: 99%