Individualized Goal Directed Perioperative Care – The Way to Go!

Frontiers in Medicine

Zsolt Molnár¹ 

关键词: high-risk surgery;    goal directed therapy;    pulse pressure variation;    central venous oxygen saturation;    stroke volume;    improved outcome;   

DOI  :  10.3389/fmed.2015.00022

学科分类：医学（综合）

来源: Frontiers

【 摘 要 】

Treating critically ill and high-risk patients is one of the greatest challenges in medicine, and it is also a multidisciplinary task. Practice varies country by country resulting in a large scatter in outcome data, which makes the interpretation difficult. Regarding anesthesia and surgery, based on an international 7 day cohort, the EUSOS-study, conducted in 28 countries in Europe including 46,000 patients undergoing inpatient surgery, the overall mortality was 4%, which was higher than expected (1). What is even more surprising that 73% of the patients who died were never admitted to an intensive care unit (ICU).

【 授权许可】

CC BY