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01.08.2010 | Commentary | Ausgabe 4/2010

Critical Care 4/2010

Improving surgical outcomes: it is the destination not the journey

Critical Care > Ausgabe 4/2010
Jonathan Wilson, Simon Davies
Wichtige Hinweise

Competing interests

JW has received honoraria for lecturing from Deltex (manufacturers of an oesophageal Doppler device) and from LiDCO (manufacturers of a pulse contour analysis system). SD received sponsorship from LiDCO to help attend the 2009 International Anaesthetic Research Society Congress.


Studies have demonstrated that optimising the circulating volume reduces morbidity after major surgery. This optimisation is usually achieved through maximisation of the stroke volume guided by oesophageal Doppler. New monitoring parameters of preload responsiveness using information from the arterial trace are now showing some promise in achieving the same goal. The present commentary examines these new parameters with respect to improving outcomes for the high-risk surgical patient.

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