Perioperative hemodynamic optimization: a revised approach

Abstract

Contemporary data suggest that approximately 18% of patients undergoing surgery will develop a major postoperative complication, and 3% to 5% will die prior to hospital discharge. Patients who develop a postoperative complication are at an increased risk of long-term mortality. Multiple studies have shown that perioperative hemodynamic optimization reduces the risk of postoperative complications and death in elective noncardiac surgical patients.

Keywords: Cardiac output; central venous oxygen saturation; goal-directed hemodynamic therapy; hemodynamic optimization; oxygen debt; perioperative care; postoperative complications.