Intraoperative Adjustment of the Low Cardiac Output into Back to its Physiological Values Improves the Postoperative Progress in Patients Undergoing Extensive Intraabdominal Surgical Procedures
P. Szturz 1; P. Sklienka 1; V. Chýlek 1; L. Martínek 2; R. Kula 1
Anesteziologicko resuscitační klinika FNsP Ostrava, přednosta MUDr. J. Jahoda
1; Chirurgická klinika FNsP Ostrava, přednosta doc. MUDr. J. Dostalík, CSc.
Rozhl. Chir., 2005, roč. 84, č. 5, s. 223-227.
Monothematic special - Original
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).
cardiac output – intraoperative period – transoesophageal Doppler ultrasonography