Impact of perioperative haemodynamic monitoring on cardiac morbidity after major vascular surgery in low risk patients. A randomised pilot trial.
OBJECTIVE
to evaluate whether perioperative haemodynamic optimisation influences outcome from infrarenal abdominal aortic aneurysm repair.


METHODS
a consecutive series of 100 eligible patients were randomised to either haemodynamic optimisation through the use of a pulmonary artery catheter (CI > 3.0 l/min/sqm, PWP > 10 and <18 mmHg, SVR <1450 dyne/sec/cm(-5), DO(2)> 600 ml/min/sqm) or conventional treatment.


RESULTS
there were no differences in terms of in-hospital mortality, cardiovascular morbidity, postoperative renal failure or duration of hospital stay between the groups.


CONCLUSIONS
in this study perioperative haemodynamic optimisation was not beneficial.
Bonazzi
M
M
Department of Anesthesia and Intensive Care Unit, Bassini Hospital, via M. Gorki 50, 20092 Cinisello Balsamo, Milan, Italy.
Gentile
F
F
Biasi
G M
GM
Migliavacca
S
S
Esposti
D
D
Cipolla
M
M
Marsicano
M
M
Prampolini
F
F
Ornaghi
M
M
Sternjakob
S
S
Tshomba
Y
Y
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000401:mortality / Q000601:surgery; D003324:Coronary Artery Disease / Q000150:complications / Q000401:mortality / Q000601:surgery*; D004452:Echocardiography; D023381:Endpoint Determination; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D019990:Perioperative Care; D010865:Pilot Projects; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D016019:Survival Analysis; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures