Weyland Andreas, Scheeren Thomas
Klinik für Anästhesiologie,Intensivmedizin, Notfallmedizinund Schmerztherapie amKlinikum Oldenburg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Feb;47(2):92-100. doi: 10.1055/s-0032-1304512. Epub 2012 Mar 8.
Advanced haemodynamic monitoring provides information on blood flow, volume status, and oxygen supply to demand ratio. Together with related therapeutic algorithms these variables can be used to optimize cardiac preload and oxygen delivery in the perioperative period. There is increasing evidence that a goal-directed therapy can improve perioperative outcome. In this review we will briefly describe different target variables and their relevance for the haemodynamic optimization of high-risk surgical patients.
高级血流动力学监测可提供有关血流、容量状态以及氧供需比的信息。这些变量与相关治疗算法一起，可用于优化围手术期的心脏前负荷和氧输送。越来越多的证据表明，目标导向治疗可改善围手术期结局。在本综述中，我们将简要描述不同的目标变量及其对高危手术患者血流动力学优化的相关性。
