title: Perioperative cardiovascular monitoring of high-risk patients: a consensus of 12.
abstract: A significant number of surgical patients are at risk of intra- or post-operative complications or both, which are associated with increased lengths of stay, costs, and mortality. Reducing these risks is important for the individual patient but also for health-care planners and managers. Insufficient tissue perfusion and cellular oxygenation due to hypovolemia, heart dysfunction or both is one of the leading causes of perioperative complications. Adequate perioperative management guided by effective and timely hemodynamic monitoring can help reduce the risk of complications and thus potentially improve outcomes. In this review, we describe the various available hemodynamic monitoring systems and how they can best be used to guide cardiovascular and fluid management in the perioperative period in high-risk surgical patients.
authors.affiliation: Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 808 route de Lennik, 1070, Brussels, Belgium. jlvincen@ulb.ac.be.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Vincent
authors.affiliation: AOU IRCCS San Martino-IST, Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Largo Rosanna Benzi 8, 16132, Genoa, Italy. ppelosi@hotmail.com.
authors.forename: Paolo
authors.initials: P
authors.lastname: Pelosi
authors.affiliation: Adult Critical Care Unit, Royal London Hospital, Whitechapel Road, London, E1 1BB, UK. Rupert.Pearse@bartshealth.nhs.uk.
authors.forename: Rupert
authors.initials: R
authors.lastname: Pearse
authors.affiliation: Department of Anesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris 7 Denis Diderot, 75475, Paris, Cedex 10, France. dpayen1234@orange.fr.
authors.forename: Didier
authors.initials: D
authors.lastname: Payen
authors.affiliation: Department of Anesthesiology and Intensive Care, Sheba Medical Center, Tel Aviv University, Tel Aviv, 52621, Israel. perelao@shani.net.
authors.forename: Azriel
authors.initials: A
authors.lastname: Perel
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, University of Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany. Andreas.Hoeft@ukb.uni-bonn.de.
authors.forename: Andreas
authors.initials: A
authors.lastname: Hoeft
authors.affiliation: Department of Human Health Sciences, Section of Anesthesiology and Intensive Care, University of Florence, Azienda Ospedaliero-Universitaria Careggi, Largo Giovanni Alessandro Brambilla 3, 50139, Florence, Italy. stefano-romagnoli@hotmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Romagnoli
authors.affiliation: Department of Anesthesia and Intensive Care Medicine, University of Turin, S.Giovanni Battista Molinette Hospital, 10126, Turin, Italy. mranieri@unito.it.
authors.forename: V Marco
authors.initials: VM
authors.lastname: Ranieri
authors.affiliation: Medico-Surgical Intensive Care Unit, Saint-Roch University Hospital, University of Nice, 5 Rue Pierre Dévoluy, 06006, Nice, France. ichai@unice.fr.
authors.forename: Carole
authors.initials: C
authors.lastname: Ichai
authors.affiliation: Service d'Anesthésiologie, Cliniques Universitaires Saint-Luc, Institute of Neuroscience (IoNS), Université catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Belgium. forgetpatrice@yahoo.fr.
authors.forename: Patrice
authors.initials: P
authors.lastname: Forget
authors.affiliation: Department of Anesthesia and Intensive Care Medicine, University Hospital, Medical School, University of Udine, P. le S. Maria della Misericordia 15, 33100, Udine, Italy. giorgio.dellarocca@uniud.it.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Della Rocca
authors.affiliation: Department of Intensive Care Medicine, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK. andrewrhodes@nhs.net.
authors.forename: Andrew
authors.initials: A
authors.lastname: Rhodes
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000379:methods* / Q000592:standards; D032921:Consensus; D005440:Fluid Therapy / Q000379:methods / Q000592:standards; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods* / Q000592:standards; D019990:Perioperative Care / Q000379:methods* / Q000592:standards; D011183:Postoperative Complications / Q000517:prevention & control*; D012307:Risk Factors