title: Perioperative hemodynamic optimization: a revised approach.
abstract: 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.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA 23507, USA. Electronic address: marikpe@evms.edu.
authors.forename: Paul E
authors.initials: PE
authors.lastname: Marik
mesh_terms: D017558:Elective Surgical Procedures; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods; D010347:Patient Care Planning; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*
keywords: Cardiac output; central venous oxygen saturation; goal-directed hemodynamic therapy; hemodynamic optimization; oxygen debt; perioperative care; postoperative complications