Perioperative haemodynamic optimization
Authors:
Beneš Jan; Chytra Ivan
Authors‘ workplace:
Anesteziologicko-resuscitační klinika, Fakultní nemocnice Plzeň
Published in:
Anest. intenziv. Med., 22, 2011, č. 2, s. 96-102
Category:
Anesthesiology - Review Article
Overview
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
Sources
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.
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.
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.
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.
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.
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.
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 postoperative complications. Ann. Surg., 2005, 242, p. 326–341.
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.
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.
11. Liu, B., Finfer, S. Intravenous fluids in adults undergoing surgery. BMJ, 2009, 338, p. b2418.
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.
13. Lees, N., Hamilton, M., Rhodes, A. Clinical review: Goal-directed therapy in high risk surgical patients. Crit. Care, 2009, 13, p. 231.
14. Kern, J. W., Shoemaker, W. C. Meta-analysis of hemodynamic optimization in high-risk patients. Crit. Care Med., 2002, 30, p. 1686–1692.
15. Wakeling, H. G., McFall, M. R., Jenkins, C. S., Woods, W. G., Miles, W. F., Barclay, G. R. et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br. J. Anaesth., 2005, 95, p. 634–642.
16. Boyd, O., Jackson, N. How is risk defined in high-risk surgical patient management? Crit. Care, 2005, 9, p. 390–396.
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.
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.
19. Kirov, M. Y., Kuzkov, V. V., Molnar, Z. Perioperative haemodynamic therapy. Curr. Opin. Crit. Care, 2010, 16, p. 384–392.
20. Copeland, G. P., Jones, D., Walters, M. POSSUM: a scoring system for surgical audit. Br. J. Surg., 1991, 78, p. 355–360.
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.
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.
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.
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.
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.
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.
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.
28. Hofer, C. K., Cecconi, M., Marx, G., Della R. G. Minimally invasive haemodynamic monitoring. Eur. J. Anaesthesiol., 2009, 26, p. 996–1002.
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.
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.
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.
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.
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.
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.
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.
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.
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.
38. Lahner, D., Kabon, B., Marschalek, C., Chiari, A., Pestel, G., Kaider, A. et al. Evaluation of stroke volume variation obtained by arterial pulse contour analysis to predict fluid responsiveness intraoperatively. Br. J. Anaesth., 2009, 103, p. 346–351.
39. Perel, A. Automated assessment of fluid responsiveness in mechanically ventilated patients. Anesth. Analg., 2008, 106, p. 1031–1033.
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.
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.
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.
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.
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.
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.
46. Holte, K., Sharrock, N. E., Kehlet, H. Pathophysiology and clinical implications of perioperative fluid excess. Br. J. Anaesth., 2002, 89, p. 622–632.
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.
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.
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.
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.
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.
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.
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.
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
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