Intraoperative Adjustment of the Low Cardiac Output into Back to its Physiological Values Improves the Postoperative Progress in Patients Undergoing Extensive Intraabdominal Surgical Procedures


Authors: P. Szturz 1;  P. Sklienka 1;  V. Chýlek 1;  L. Martínek 2;  R. Kula 1
Authors‘ workplace: Anesteziologicko resuscitační klinika FNsP Ostrava, přednosta MUDr. J. Jahoda 1;  Chirurgická klinika FNsP Ostrava, přednosta doc. MUDr. J. Dostalík, CSc. 2
Published in: Rozhl. Chir., 2005, roč. 84, č. 5, s. 223-227.
Category: Monothematic special - Original

Overview

Perioperative optimalization of haemodynamics is associated with improved post-operative development, as presented in most published studies. This study has confirmed that intra-operative correction of cardiac output back to it’s physiological level is associated with improved post-operative course in the group of patients undergoing major elective intraabdominal surgery. Statistically significant decreasing of post-operative complications (4.7% vs 17.7%), decreased length of stay (LOS) in the ICU by 33% and decreased LOS in the hospital by 24% was recorded. Interpretation of the study could be limited by using non-indexed cardiac output values and higher female presentation in the group of patients (although statistically not significant).

Key words:
cardiac output – intraoperative period – transoesophageal Doppler ultrasonography


Labels
Surgery Orthopaedics Trauma surgery
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