Haemodynamic monitoring during noncardiac surgery: past, present, and future.

Anaesthesia Blood pressure Cardiac output Haemodynamic monitoring Heart rate

Journal

Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357

Informations de publication

Date de publication:
30 Apr 2024
Historique:
received: 31 01 2024
accepted: 02 04 2024
medline: 30 4 2024
pubmed: 30 4 2024
entrez: 30 4 2024
Statut: aheadofprint

Résumé

During surgery, various haemodynamic variables are monitored and optimised to maintain organ perfusion pressure and oxygen delivery - and to eventually improve outcomes. Important haemodynamic variables that provide an understanding of most pathophysiologic haemodynamic conditions during surgery include heart rate, arterial pressure, central venous pressure, pulse pressure variation/stroke volume variation, stroke volume, and cardiac output. A basic physiologic and pathophysiologic understanding of these haemodynamic variables and the corresponding monitoring methods is essential. We therefore revisit the pathophysiologic rationale for intraoperative monitoring of haemodynamic variables, describe the history, current use, and future technological developments of monitoring methods, and finally briefly summarise the evidence that haemodynamic management can improve patient-centred outcomes.

Identifiants

DOI: 10.1007/s10877-024-01161-2 PMID: 38687416
pubmed: 38687416
doi: 10.1007/s10877-024-01161-2
pii: 10.1007/s10877-024-01161-2
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Karim Kouz (K)

Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, Hamburg, 20246, Germany.
Outcomes Research Consortium, Cleveland, OH, USA.

Robert Thiele (R)

Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA.

Frederic Michard (F)

MiCo, Vallamand, Switzerland.

Bernd Saugel (B)

Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, Hamburg, 20246, Germany. bernd.saugel@gmx.de.
Outcomes Research Consortium, Cleveland, OH, USA. bernd.saugel@gmx.de.

Classifications MeSH