Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies

Bernd Saugel; Thorsten Annecke; Berthold Bein; Moritz Flick; Matthias Goepfert; Matthias Gruenewald; Marit Habicher; Bettina Jungwirth; Tilo Koch; Karim Kouz; Agnes S Meidert; Gunther Pestel; Jochen Renner; Samir G Sakka; Michael Sander; Sascha Treskatsch; Amelie Zitzmann; Daniel A Reuter

doi:10.1007/s10877-024-01132-7

Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery: Guidelines of the German Society of Anaesthesiology and Intensive Care Medicine in collaboration with the German Association of the Scientific Medical Societies

J Clin Monit Comput. 2024 Oct;38(5):945-959. doi: 10.1007/s10877-024-01132-7. Epub 2024 Feb 21.

Authors

Bernd Saugel^{1

2}, Thorsten Annecke³, Berthold Bein⁴, Moritz Flick⁵, Matthias Goepfert⁶, Matthias Gruenewald⁷, Marit Habicher⁸, Bettina Jungwirth⁹, Tilo Koch¹⁰, Karim Kouz^{5

11}, Agnes S Meidert¹², Gunther Pestel¹³, Jochen Renner¹⁴, Samir G Sakka¹⁵, Michael Sander⁸, Sascha Treskatsch¹⁶, Amelie Zitzmann¹⁷, Daniel A Reuter¹⁷

Affiliations

¹ Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. bernd.saugel@gmx.de.
² Outcomes Research Consortium, Cleveland, OH, USA. bernd.saugel@gmx.de.
³ Department of Anesthesiology and Intensive Care Medicine, Cologne Merheim Medical Center, Hospital of the University of Witten/Herdecke, Cologne, Germany.
⁴ Department for Anaesthesiology, Asklepios Hospital Hamburg St. Georg, Hamburg, Germany.
⁵ Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
⁶ Department of Anaesthesiology and Intensive Care Medicine, Alexianer St. Hedwigkliniken Berlin, Berlin, Germany.
⁷ Department of Anaesthesiology and Intensive Care Medicine, Evangelisches Amalie Sieveking Krankenhaus, Hamburg, Germany.
⁸ Department of Anaesthesiology, Intensive Care Medicine and Pain Medicine, University Hospital Giessen, Justus-Liebig University Giessen, Giessen, Germany.
⁹ Department of Anesthesiology and Intensive Care Medicine, University Hospital Ulm, Ulm, Germany.
¹⁰ Department of Anesthesiology and Intensive Care, Philipps-University Marburg, Marburg, Germany.
¹¹ Outcomes Research Consortium, Cleveland, OH, USA.
¹² Department of Anaesthesiology, University Hospital LMU Munich, Munich, Germany.
¹³ Department of Anesthesiology, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.
¹⁴ Department of Anesthesiology and Intensive Care Medicine, Municipal Hospital Kiel, Kiel, Germany.
¹⁵ Department of Intensive Care Medicine, Gemeinschaftsklinikum Mittelrhein gGmbH, Academic Teaching Hospital of the Johannes Gutenberg University Mainz, Koblenz, Germany.
¹⁶ Department of Anesthesiology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, Charité Campus Benjamin Franklin, Berlin, Germany.
¹⁷ Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Medical Centre of Rostock, Rostock, Germany.

Abstract

Haemodynamic monitoring and management are cornerstones of perioperative care. The goal of haemodynamic management is to maintain organ function by ensuring adequate perfusion pressure, blood flow, and oxygen delivery. We here present guidelines on "Intraoperative haemodynamic monitoring and management of adults having non-cardiac surgery" that were prepared by 18 experts on behalf of the German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin; DGAI).

Keywords: Arterial pressure; Cardiac output; Echocardiography; Haemodynamic monitoring; Heart rate; Stroke volume.

Publication types

Practice Guideline

MeSH terms

Adult
Anesthesiology* / methods
Anesthesiology* / standards
Critical Care* / methods
Critical Care* / standards
Germany
Hemodynamic Monitoring* / methods
Hemodynamics*
Humans
Monitoring, Intraoperative* / methods
Monitoring, Intraoperative* / standards
Perioperative Care / methods
Perioperative Care / standards
Review Literature as Topic
Societies, Medical*
Societies, Scientific
Surgical Procedures, Operative