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Impact of perioperative haemodynamic monitoring on cardiac morbidity after major vascular surgery in low risk patients. A randomised pilot trial.

作者信息

Bonazzi M, Gentile F, Biasi G M, Migliavacca S, Esposti D, Cipolla M, Marsicano M, Prampolini F, Ornaghi M, Sternjakob S, Tshomba Y

机构信息

Department of Anesthesia and Intensive Care Unit, Bassini Hospital, via M. Gorki 50, 20092 Cinisello Balsamo, Milan, Italy.

出版信息

Eur J Vasc Endovasc Surg. 2002 May;23(5):445-51. doi: 10.1053/ejvs.2002.1617.

DOI:10.1053/ejvs.2002.1617
PMID:12027474
Abstract

OBJECTIVE

to evaluate whether perioperative haemodynamic optimisation influences outcome from infrarenal abdominal aortic aneurysm repair.

METHODS

a consecutive series of 100 eligible patients were randomised to either haemodynamic optimisation through the use of a pulmonary artery catheter (CI > 3.0 l/min/sqm, PWP > 10 and <18 mmHg, SVR <1450 dyne/sec/cm(-5), DO(2)> 600 ml/min/sqm) or conventional treatment.

RESULTS

there were no differences in terms of in-hospital mortality, cardiovascular morbidity, postoperative renal failure or duration of hospital stay between the groups.

CONCLUSIONS

in this study perioperative haemodynamic optimisation was not beneficial.

摘要

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