Anest. intenziv. Med. 2011;22(2):96-102

Perioperative haemodynamic optimizationAnaesthesiology - Review articles

Beneš Jan*, Chytra Ivan
Anesteziologicko-resuscitační klinika, Fakultní nemocnice Plzeň

Hemodynamic optimization of high-risk surgical patients has been increasingly used in the peri-operative setting. The benefit of this approach for the morbidity and mortality reduction in the postoperative period has been proved by many studies. In this article we summarize and comment on the articles published on perioperative goal-directed therapy.

Keywords: hemodynamic optimization; perioperative fluid therapy; goal-directed therapy

Received: October 14, 2010; Accepted: February 3, 2011; Published: April 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Beneš J, Chytra I. Perioperative haemodynamic optimization. Anest. intenziv. Med. 2011;22(2):96-102.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Drábková, J. Statistika oboru anesteziologie a resuscitace ARO, KAR Česká republika 2009. Referátový výběr z anesteziologie, resuscitace a intenzivní medicíny, 2010, 1, p. 5-12.
    2. Pearse, R. M., Harrison, D. A., James, P., Watson, D., Hinds, C., Rhodes, A. et al. Identification and characterisation of the high-risk surgical population in the United Kingdom. Crit. Care, 2006, 10, p. R81. Go to original source... Go to PubMed...
    3. Sandham, J. D., Hull, R. D., Brant, R. F., Knox, L., Pineo, G. F., Doig, C. J. et al. A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N. Engl. J. Med., 2003, 348, p. 5-14. Go to original source... Go to PubMed...
    4. Donati, A., Loggi, S., Preiser, J. C., Orsetti, G., Munch, C., Gabbanelli, V. et al. Goal-directed intraoperative therapy reduces morbidity and length of hospital stay in high-risk surgical patients. Chest, 2007, 132, p. 1817-1824. Go to original source... Go to PubMed...
    5. Rhodes, A., Cecconi, M., Hamilton, M., Poloniecki, J., Woods, J., Boyd, O. et al. Goal-directed therapy in high-risk surgical patients: a 15-year follow-up study. Intensive Care Med., 2010, 36, p. 1327-1332. Go to original source... Go to PubMed...
    6. Brienza, N., Giglio, M. T., Marucci, M., Fiore, T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study. Crit Care Med., 2009, 37, p. 2079-2090. Go to original source... Go to PubMed...
    7. Giglio, M. T., Marucci, M., Testini, M., Brienza, N. Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials. Br. J. Anaesth., 2009, 103, p. 637-646. Go to original source... Go to PubMed...
    8. Khuri, S. F., Henderson, W. G., DePalma, R. G., Mosca, C., Healey, N. A., Kumbhani, D. J. Determinants of long-term survival after major surgery and the adverse effect of post-operative complications. Ann. Surg., 2005, 242, p. 326-341. Go to original source...
    9. Boyd, O., Grounds, R. M., Bennett, E. D. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. JAMA, 1993, 270, p. 2699-2707. Go to original source...
    10. Powell-Tuck, J., Gosling, P., Lobo, D. N., Allison, S. P., Carlson, G. L., Gore, M. et al. British Consensus Guidelines on Intravenous Fluid Therapy for Adult Surgical Patients - GIFTASUP. Dostupné na www: http://www.bapen.org.uk/pdfs/bapen_pubs/giftasup.pdf. 2010. Ref Type: Electronic Citation. Go to original source...
    11. Liu, B., Finfer, S. Intravenous fluids in adults undergoing surgery. BMJ, 2009, 338, p. b2418. Go to original source... Go to PubMed...
    12. Mowatt, G., Houston, G., Hernandez, R., de VR, Fraser, C., Cuthbertson, B. et al. Systematic review of the clinical effectiveness and cost-effectiveness of oesophageal Doppler monitoring in critically ill and high-risk surgical patients. Health Technol. Assess., 2009, 13, p. iii-xii, 1. Go to original source... Go to PubMed...
    13. Lees, N., Hamilton, M., Rhodes, A. Clinical review: Goal-directed therapy in high risk surgical patients. Crit. Care, 2009, 13, p. 231. Go to original source... Go to PubMed...
    14. Kern, J. W., Shoemaker, W. C. Meta-analysis of hemodynamic optimization in high-risk patients. Crit. Care Med., 2002, 30, p. 1686-1692. Go to original source... Go to PubMed...
    15. Wakeling, H. G., McFall, M. R., Jenkins, C. S., Woods, W. G., Miles, W. F., Barclay, G. R. et al. Intraoperative oeso-phageal Doppler guided fluid management shortens post-operative hospital stay after major bowel surgery. Br. J. Anaesth., 2005, 95, p. 634-642. Go to original source... Go to PubMed...
    16. Boyd, O., Jackson, N. How is risk defined in high-risk surgical patient management? Crit. Care, 2005, 9, p. 390-396. Go to original source... Go to PubMed...
    17. Shoemaker, W. C., Wo, C. C., Thangathurai, D., Velmahos, G., Belzberg, H., Asensio, J. A. et al. Hemodynamic patterns of survivors and nonsurvivors during high risk elective surgical operations. World J. Surg., 1999, 23, p. 1264-1270. Go to original source... Go to PubMed...
    18. Pearse, R., Dawson, D., Fawcett, J., Rhodes, A., Grounds, R. M., Bennett, E. D. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]. Crit. Care, 2005, 9, p. R687-R693. Go to original source... Go to PubMed...
    19. Kirov, M. Y., Kuzkov, V. V., Molnar, Z. Perioperative haemodynamic therapy. Curr. Opin. Crit. Care, 2010, 16, p. 384-392. Go to original source... Go to PubMed...
    20. Copeland, G. P., Jones, D., Walters, M. POSSUM: a scoring system for surgical audit. Br. J. Surg., 1991, 78, p. 355-360. Go to original source... Go to PubMed...
    21. Goldman, L., Caldera, D. L., Nussbaum, S. R., Southwick, F. S., Krogstad, D., Murray, B. et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N. Engl. J. Med., 1977, 297, p. 845-850. Go to original source... Go to PubMed...
    22. Lee, T. H., Marcantonio, E. R., Mangione, C. M., Thomas, E. J., Polanczyk, C. A., Cook, E. F. et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 1999, 100, p. 1043-1049. Go to original source... Go to PubMed...
    23. Fleisher, L. A., Beckman, J. A., Brown, K. A., Calkins, H., Chaikof, E., Fleischmann, K. E. et al. ACC/AHA 2006 guideline update on perioperative cardiovascular evaluation for noncardiac surgery: focused update on perioperative beta-blocker therapy: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery): developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society for Vascular Medicine and Biology. Circulation, 2006, 113, p. 2662-2674. Go to original source...
    24. Older, P., Hall, A., Hader, R. Cardiopulmonary exercise testing as a screening test for perioperative management of major surgery in the elderly. Chest, 1999, 116, p. 355-362. Go to original source... Go to PubMed...
    25. Meregalli, A., Oliveira, R. P., Friedman, G. Occult hypoperfusion is associated with increased mortality in hemodynamically stable, high-risk, surgical patients. Crit. Care, 2004, 8, p. R60-R65. Go to original source... Go to PubMed...
    26. Shoemaker, W. C., Montgomery, E. S., Kaplan, E., Elwyn, D. H. Physiologic patterns in surviving and nonsurviving shock patients. Use of sequential cardiorespiratory variables in defining criteria for therapeutic goals and early warning of death. Arch. Surg., 1973, 106, p. 630-636. Go to original source... Go to PubMed...
    27. Abbas, S. M., Hill, A. G. Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery. Anaesthesia, 2008, 63, p. 44-51. Go to original source... Go to PubMed...
    28. Hofer, C. K., Cecconi, M., Marx, G., Della R. G. Minimally invasive haemodynamic monitoring. Eur. J. Anaesthesiol., 2009, 26, p. 996-1002. Go to original source... Go to PubMed...
    29. Shoemaker, W. C., Appel, P. L., Kram, H. B., Waxman, K., Lee, T. S. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest, 1988, 94, p. 1176-1186. Go to original source... Go to PubMed...
    30. Chytra, I., Pradl, R., Bosman, R., Pelnar, P., Kasal, E., Zidkova, A. Esophageal Doppler-guided fluid management decreases blood lactate levels in multiple-trauma patients: a randomized controlled trial. Crit. Care, 2007, 11, p. R24. Go to original source... Go to PubMed...
    31. Lopes, M. R., Oliveira, M. A., Pereira, V. O., Lemos, I. P., Auler, J. O., Jr., Michard, F. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit. Care, 2007, 11, p. R100. Go to original source... Go to PubMed...
    32. Benes, J., Chytra, I., Altmann, P., Hluchy, M., Kasal, E., Svitak, R. et al. Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit. Care, 2010, 14, p. R118. Go to original source... Go to PubMed...
    33. Marik, P. E., Cavallazzi, R., Vasu, T., Hirani, A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit. Care Med., 2009, 37, p. 2642-2647. Go to original source... Go to PubMed...
    34. De, B. D., Heenen, S., Piagnerelli, M., Koch, M., Vincent, J. L. Pulse pressure variations to predict fluid responsiveness: influence of tidal volume. Intensive Care Med., 2005, 31, p. 517-523. Go to original source... Go to PubMed...
    35. Umgelter, A., Reindl, W., Schmid, R. M., Huber, W. Is supra-ventricular arrhythmia a reason for the bad performance of the FlowTrac device? Crit. Care, 2007, 11, p. 406. Go to original source... Go to PubMed...
    36. Kubitz, J. C., Forkl, S., Annecke, T., Kronas, N., Goetz, A. E., Reuter, D. A. Systolic pressure variation and pulse pressure variation during modifications of arterial pressure. Intensive Care Med., 2008, 34, p. 1520-1524. Go to original source... Go to PubMed...
    37. Kubitz, J. C., Annecke, T., Forkl, S., Kemming, G. I., Kronas, N., Goetz, A. E. et al. Validation of pulse contour derived stroke volume variation during modifications of cardiac afterload. Br. J. Anaesth., 2007, 98, p. 591-597. Go to original source... Go to PubMed...
    38. Lahner, D., Kabon, B., Marschalek, C., Chiari, A., Pestel, G., Kaider, A. et al. Evaluation of stroke volume varia-tion obtained by arterial pulse contour analysis to predict fluid responsiveness intraoperatively. Br. J. Anaesth., 2009, 103, p. 346-351. Go to original source... Go to PubMed...
    39. Perel, A. Automated assessment of fluid responsiveness in mechanically ventilated patients. Anesth. Analg., 2008, 106, p. 1031-1033. Go to original source... Go to PubMed...
    40. Solus-Biguenet, H., Fleyfel, M., Tavernier, B., Kipnis, E., Onimus, J., Robin, E. et al. Non-invasive prediction of fluid responsiveness during major hepatic surgery. Br. J. Anaesth., 2006, 97, p. 808-816. Go to original source... Go to PubMed...
    41. Lafanechere, A., Pene, F., Goulenok, C., Delahaye, A., Mallet, V., Choukroun, G. et al. Changes in aortic blood flow induced by passive leg raising predict fluid responsiveness in critically ill patients. Crit. Care, 2006, 10, R132. Go to original source... Go to PubMed...
    42. Lobo, S. M., Lobo, F. R., Polachini, C. A., Patini, D. S., Yamamoto, A. E., de Oliveira, N. E. et al. Prospective, randomized trial comparing fluids and dobutamine optimization of oxygen delivery in high-risk surgical patients [ISRCTN42445141]. Crit. Care, 2006, 10, R72. Go to original source... Go to PubMed...
    43. Jhanji, S., Vivian-Smith, A., Lucena-Amaro, S., Watson, D., Hinds, C. J., Pearse, R. M. Haemodynamic optimisation improves tissue microvascular flow and oxygenation after major surgery: a randomised controlled trial. Crit. Care, 2010, 14, R151. Go to original source... Go to PubMed...
    44. Pearse, R. M., Belsey, J. D., Cole, J. N., Bennett, E. D. Effect of dopexamine infusion on mortality following major surgery: individual patient data meta-regression analysis of published clinical trials. Crit. Care Med., 2008, 36, p. 1323-1329. Go to original source... Go to PubMed...
    45. Lamke, L. O., Nilsson, G. E., Reithner, H. L. Water loss by evaporation from the abdominal cavity during surgery. Acta Chir. Scand., 1977, 143, p. 279-284. Go to PubMed...
    46. Holte, K., Sharrock, N. E., Kehlet, H. Pathophysiology and clinical implications of perioperative fluid excess. Br. J. Anaesth., 2002, 89, p. 622-632. Go to original source... Go to PubMed...
    47. Chappell, D., Jacob, M., Hofmann-Kiefer, K., Conzen, P., Rehm, M. A rational approach to perioperative fluid management. Anesthesiology, 2008, 109, p. 723-740. Go to original source... Go to PubMed...
    48. Bruegger, D., Jacob, M., Rehm, M., Loetsch, M., Welsch, U., Conzen, P. et al. Atrial natriuretic peptide induces shedding of endothelial glycocalyx in coronary vascular bed of guinea pig hearts. Am. J. Physiol. Heart Circ. Physiol., 2005, 289, H1993-H1999. Go to original source... Go to PubMed...
    49. Jacob, M., Chappell, D., Hollmann, M. W. Current aspects of perioperative fluid handling in vascular surgery. Curr. Opin. Anaesthesiol., 2009, 22, p. 100-108. Go to original source... Go to PubMed...
    50. Bundgaard-Nielsen, M., Secher, N. H., Kehlet, H. 'Liberal' vs. 'restrictive' perioperative fluid therapy - a critical assessment of the evidence. Acta Anaesthesiol. Scand., 2009, 53, p. 843-851. Go to original source... Go to PubMed...
    51. Hiltebrand, L. B., Kimberger, O., Arnberger, M., Brandt, S., Kurz, A., Sigurdsson, G. H. Crystalloids versus colloids for goal-directed fluid therapy in major surgery. Crit. Care, 2009, 13: R40. Go to original source... Go to PubMed...
    52. Kimberger, O., Arnberger, M., Brandt, S., Plock, J., Sigurdsson, G. H., Kurz, A. et al. Goal-directed colloid administration improves the microcirculation of healthy and perianastomotic colon. Anesthesiology, 2009, 110: 496-504. Go to original source... Go to PubMed...
    53. Mayer, J., Boldt, J., Mengistu, A., Rohm, K. D., Suttner, S. Goal-directed intraoperative therapy based on autocalibrated arterial pressure waveform analysis reduces hospital stay in high-risk surgical patients: a randomized, controlled trial. Crit. Care, 2010, 14: R18. Go to original source... Go to PubMed...

    Return to the content


    Anesteziologie a intenzivní medicína

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.