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Journal of Clinical Monitoring and Computing

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23.08.2018 | Editorial

Perioperative goal-directed therapy: what’s the best study design to investigate its impact on patient outcome?

verfasst von: Bernd Saugel, Alexandre Joosten, Thomas W. L. Scheeren

Erschienen in: Journal of Clinical Monitoring and Computing | Ausgabe 3/2019

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Excerpt

The impact of anesthetic management on short and long-term postoperative outcomes is a subject of current research in anesthesiology [1]. There is increasing evidence that certain aspects of anesthetic management—including perioperative goal-directed blood flow and fluid optimization [2, 3] and monitoring of the depth of anesthesia [4, 5]—can have a beneficial impact on postoperative complication rates. …

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Chong MA, Wang Y, Berbenetz NM, McConachie I. Does goal-directed haemodynamic and fluid therapy improve peri-operative outcomes?: a systematic review and meta-analysis. Eur J Anaesthesiol. 2018;35:469–83. https://doi.org/10.1097/eja.0000000000000778.CrossRefPubMed

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Cannesson M, Ramsingh D, Rinehart J, et al. Perioperative goal-directed therapy and postoperative outcomes in patients undergoing high-risk abdominal surgery: a historical-prospective, comparative effectiveness study. Crit Care. 2015;19:261. https://doi.org/10.1186/s13054-015-0945-2.CrossRefPubMedPubMedCentral

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Habicher M, Balzer F, Mezger V, et al. Implementation of goal-directed fluid therapy during hip revision arthroplasty: a matched cohort study. Perioper Med. 2016;5:31. https://doi.org/10.1186/s13741-016-0056-x.CrossRef

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Malbouisson LMS, Silva JM Jr, Carmona MJC, et al. A pragmatic multi-center trial of goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery. BMC Anesthesiol. 2017;17:70. https://doi.org/10.1186/s12871-017-0356-9.CrossRefPubMedPubMedCentral

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Joosten A, Coeckelenbergh S, Delaporte A, et al. Implementation of closed-loop-assisted intra-operative goal-directed fluid therapy during major abdominal surgery: a case-control study with propensity matching. Eur J Anaesthesiol. 2018;35:650–8. https://doi.org/10.1097/eja.0000000000000827.CrossRefPubMed

Titel: Perioperative goal-directed therapy: what’s the best study design to investigate its impact on patient outcome?
verfasst von: Bernd Saugel
Alexandre Joosten
Thomas W. L. Scheeren
Publikationsdatum: 23.08.2018
Verlag: Springer Netherlands
Erschienen in: Journal of Clinical Monitoring and Computing / Ausgabe 3/2019
Print ISSN: 1387-1307
Elektronische ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-018-0196-2

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Perioperative goal-directed therapy: what’s the best study design to investigate its impact on patient outcome?

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