Perioperative Goal-directed Therapy
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Abstract
Currently, the number of high risk patients undergoing high risk surgery is increased which result in higher perioperative mortality and morbidity rate. Close hemodynamic monitoring in intensive care unit is needed to improve their survival rate and reduce perioperative complications. Perioperative goal-directed therapy is one of the hemodynamic optimization approach during perioperative periods with several available specific goals to be chosen such as oxygen delivery or parameters derived from cardiac function curve. Based on a narrative review, the terms about perioperative goal-directed therapy were searched for English language before January 2021. As a result, mortality rate is significantly decreased in high risk patients. Reduced complication rate can be expected in all patients. Because of high variation of different goals, number of patients and types of surgery, the decision of chosen goal is depend on potential of each hospital and attending physician.
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