Current Commonly Used Dynamic Parameters and Monitoring Systems for Perioperative Goal-Directed Fluid Therapy: A Review.

围手术期目标导向液体治疗的当前常用动态参数和监测系统 ： 综述。

• 影响指数: 3.434
• 发表时间: 03 2023
• 来源期刊: Yale J Biol Med
• DOI: 10.59249/JOAP6662
• PMID: 37009197
• 文章类型: Journal Article
• 作者列表: Kan CFK,Skaggs JD

关键词: ClearSight; Flotrac; Goal-directed fluid therapy; LiDCO; PiCCO; aortic blood flow peak velocity variation; echocardiogram; enhanced recovery after surgery protocol; esophageal doppler; fluid resuscitation; hemodynamic monitor; pleth variability index; pulse pressure variation; stroke volume variation

Mesh: Humans; Goals; Postoperative Complications; Hemodynamics; Fluid Therapy / methods

Abstract

Goal-directed fluid therapy (GDFT) is usually recommended in patients undergoing major surgery and is essential in enhanced recovery after surgery (ERAS) protocols. This fluid regimen is usually guided by dynamic hemodynamic parameters and aims to optimize patients\' cardiac output to maximize oxygen delivery to their vital organs. While many studies have shown that GDFT benefits patients perioperatively and can decrease postoperative complications, there is no consensus on which dynamic hemodynamic parameters to guide GDFT with. Furthermore, there are many commercialized hemodynamic monitoring systems to measure these dynamic hemodynamic parameters, and each has its pros and cons. This review will discuss and review the commonly used GDFT dynamic hemodynamic parameters and hemodynamic monitoring systems.

摘要

目标导向液体治疗（GDFT）通常被推荐用于接受大手术的患者，并且对于增强术后恢复（ERAS）方案至关重要。这种液体治疗方案通常由动态血液动力学参数指导，旨在优化患者的心输出量，以最大限度地向其重要器官输送氧气。虽然许多研究表明，GDFT有利于患者围手术期，并可以减少术后并发症，对于指导GDFT的动态血流动力学参数尚无共识.此外，有许多商业化的血液动力学监测系统来测量这些动态血液动力学参数，每个都有其优点和缺点。本文将讨论和回顾常用的GDFT动态血流动力学参数和血流动力学监测系统。