Goal-directed therapy in intraoperative fluid and hemodynamic management  

作　　者：Maria Cristina Gutierrez Peter G.Moore Hong Liu 

机构地区：[1]Department of Anesthesiology and Pain Medicine, University of California Davis Health System

出　　处：《The Journal of Biomedical Research》2013年第5期357-365,共9页生物医学研究杂志（英文版）

基　　金：supported by the Department of Anesthesiologyand Pain Medicine;University of California Davis Health System;Sacramento;CA 95617 and NIH Grant(#UL1 TR000002)

摘　　要：Intraoperative fluid management is pivotal to the outcome and success of surgery, especially in high-risk proce- dures. Empirical formula and invasive static monitoring have been traditionally used to guide intraoperative fluid management and assess volume status. With the awareness of the potential complications of invasive procedures and the poor reliability of these methods as indicators of volume status, we present a case scenario of a patient who underwent major abdominal surgery as an example to discuss how the use of minimally invasive dynamic monitoring may guide intraoperative fluid therapy.Intraoperative fluid management is pivotal to the outcome and success of surgery, especially in high-risk proce- dures. Empirical formula and invasive static monitoring have been traditionally used to guide intraoperative fluid management and assess volume status. With the awareness of the potential complications of invasive procedures and the poor reliability of these methods as indicators of volume status, we present a case scenario of a patient who underwent major abdominal surgery as an example to discuss how the use of minimally invasive dynamic monitoring may guide intraoperative fluid therapy.

关 键 词：high-risk surgery HEMODYNAMIC FLUID monitoring goal-directed therapy 

分 类 号：R318.01[医药卫生—生物医学工程]