Perioperative advanced haemodynamic monitoring of patients undergoing multivisceral debulking surgery: an observational pilot study.
Charlotte MiddelMatthias StetzuhnNadine SanderBjörn KalkbrennerTimo TiggesAlexandru-Gabriel PielmusClaudia SpiesKlaus PietznerMichael KlumClarissa von HaefenOliver HunsickerJalid SehouliFrank KonietschkeAarne FeldheiserPublished in: Intensive care medicine experimental (2023)
Substantial decreases in HR, SVI, CI, and index of contractility occurred from the day before surgery to the first intraoperative timepoint. HR and CI were altered throughout the perioperative course. Patients with postoperative complications differed from patients without complications in the markers of cardiac function, a lower index of contractility and a lower SVI. The analyses of trends over the whole perioperative time course by using non-invasive technologies like EC seem to be useful to identify patients with altered haemodynamic parameters and therefore at an increased risk for postoperative complications after major surgery.
Keyphrases
- patients undergoing
- minimally invasive
- coronary artery bypass
- cardiac surgery
- end stage renal disease
- surgical site infection
- ejection fraction
- newly diagnosed
- chronic kidney disease
- smooth muscle
- risk factors
- prognostic factors
- coronary artery disease
- radiation therapy
- peritoneal dialysis
- squamous cell carcinoma
- cross sectional
- locally advanced