Preoperative hemodynamic optimization by means of augmenting oxygen delivery in high-risk surgery

R. C.T. Meesters, G. Ramsay, A. R.J. Girbes

Research output: Contribution to journalReview article*Academicpeer-review

Abstract

Preoperative hemodynamic optimization by means of augmenting oxygen delivery is an attractive concept to reduce morbidity after major surgery. Several prospective controlled randomised studies demonstrate a positive effect on mortality and morbidity. However, it is still uncertain which patients will benefit most from such a policy and by what means preoperative optimization is best achieved. We believe that the target of optimization should not be a prefixed value for oxygen delivery, but rather one individualized for each patient ("tune-up"). In this regard, a better preoperative fluid-status appears to be most essential.

Translated title of the contributionPreoperative hemodynamic optimization by means of augmenting oxygen delivery in high-risk surgery
Original languageDutch
Pages (from-to)35-41
Number of pages7
JournalNederlands tijdschrift voor anesthesiologie
Volume14
Issue number2
Publication statusPublished - 26 Jun 2001

Keywords

  • Complications
  • Hemodynamic
  • Optimization
  • Oxygen delivery major surgery
  • Preoperative

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