Savino J A, Del Guercio L R
Surg Clin North Am. 1985 Aug;65(4):763-91. doi: 10.1016/s0039-6109(16)43681-9.
From the foregoing accounts of preoperative assessment of myocardial performance, as well as preload and afterload status it is clear that the proper anesthesia techniques and agents can be selected. Physiologically optimal adjustments of preload, afterload, and myocardial function can be attained by the appropriate, harmonious selection of anesthesia technique and vasoactive drugs made on the basis of close hemodynamic monitoring preoperatively, intraoperatively, and in the immediate postoperative period.
从上述关于心肌功能、前负荷和后负荷状态的术前评估描述中可以清楚地看出，能够选择合适的麻醉技术和药物。通过在术前、术中和术后即刻进行密切的血流动力学监测，在此基础上恰当、协调地选择麻醉技术和血管活性药物，可以实现前负荷、后负荷和心肌功能在生理上的最佳调整。
