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Haemodynamic monitoring during noncardiac surgery: past, present, and future

2024/04/30 by Karim Kouz, Robert H. Thiele, Frédèric Michard +1 · 1 voice
Medicine · #Hemodynamic Monitoring and Therapy #Cardiac, Anesthesia and Surgical Outcomes #Blood Pressure and Hypertension Studies

paper · pdf · doi:10.1007/s10877-024-01161-2

openalex publication_date 2024/04/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/23

Abstract

During surgery, various haemodynamic variables are monitored and optimised to maintain organ perfusion pressure and oxygen delivery - and to eventually improve outcomes. Important haemodynamic variables that provide an understanding of most pathophysiologic haemodynamic conditions during surgery include heart rate, arterial pressure, central venous pressure, pulse pressure variation/stroke volume variation, stroke volume, and cardiac output. A basic physiologic and pathophysiologic understanding of these haemodynamic variables and the corresponding monitoring methods is essential. We therefore revisit the pathophysiologic rationale for intraoperative monitoring of haemodynamic variables, describe the history, current use, and future technological developments of monitoring methods, and finally briefly summarise the evidence that haemodynamic management can improve patient-centred outcomes.

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