Perioperative hemodynamic optimization: a revised approach

J Clin Anesth. 2014 Sep;26(6):500-5. doi: 10.1016/j.jclinane.2014.06.008. Epub 2014 Sep 6.


Contemporary data suggest that approximately 18% of patients undergoing surgery will develop a major postoperative complication, and 3% to 5% will die prior to hospital discharge. Patients who develop a postoperative complication are at an increased risk of long-term mortality. Multiple studies have shown that perioperative hemodynamic optimization reduces the risk of postoperative complications and death in elective noncardiac surgical patients.

Keywords: Cardiac output; central venous oxygen saturation; goal-directed hemodynamic therapy; hemodynamic optimization; oxygen debt; perioperative care; postoperative complications.

Publication types

  • Review

MeSH terms

  • Elective Surgical Procedures
  • Hemodynamics / physiology*
  • Humans
  • Monitoring, Intraoperative / methods
  • Patient Care Planning
  • Perioperative Care / methods*
  • Postoperative Complications / prevention & control*