Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

Post-operative consequences of hemodynamic optimization

Abstract : Hemodynamic optimization begins with a medical assessment to identify the high-risk patients. This stratification is needed to customize the choice of hemodynamic support that is best adapted to the patient's level of risk, integrating the use of the least invasive procedures. The macro-circulatory hemodynamic approach aims to maintain a balance between oxygen supply (DO2) and oxygen demand (VO2). Volume replacement plays a crucial role based on the titration of fluid boluses according to their effect on measured stroke volume or indices of preload dependency. Good function of the microcirculatory system is the best guarantee to achieve this goal. An assessment of the DO2/VO2 ratio is needed for guidance in critical situations where tissue hypoxia may occur. Overall, all of these strategies are based on objective criteria to guide vascular replacement and/or tissue oxygenation in order to improve the patient's post-operative course by decreasing morbidity and hospital stay.
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal.univ-lille.fr/hal-03259458
Contributeur : Lilloa Université de Lille <>
Soumis le : lundi 14 juin 2021 - 11:10:20
Dernière modification le : lundi 14 juin 2021 - 11:10:21

Lien texte intégral

Identifiants

Collections

Citation

A Lazkani, Gilles Lebuffe. Post-operative consequences of hemodynamic optimization. Journal of Visceral Surgery, 2016, Journal of visceral surgery, 153, pp.S5-S9. ⟨10.1016/j.jviscsurg.2016.09.006⟩. ⟨hal-03259458⟩

Partager

Métriques

Consultations de la notice

17