title: Haemodynamic optimisation: are we dynamic enough?
abstract: Perioperative haemodynamic optimisation of high-risk surgical patients has long been documented to improve both short-term and long-term outcomes, as well as to reduce the rate of postoperative complications. Based on the evidence, cardiac output monitoring and fluid resuscitation, combined with the use of inotropes, would seem to be the gold standard of care for these difficult surgical cases. However, clinicians do not universally apply these techniques and principles in their everyday practice. By exploring the reasons why this is so, perhaps we could move forward in the standardisation of care and the application of evidence-based practice.
authors.affiliation: Royal Sussex County Hospital, Eastern Road, Brighton, East Sussex, BN2 0JH, UK.
authors.forename: Sophie J
authors.initials: SJ
authors.lastname: Parker
authors.forename: Owen
authors.initials: O
authors.lastname: Boyd
mesh_terms: D000776:Anesthesiology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*
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