title: Haemodynamic coherence in perioperative setting.
abstract: Over the last decade, there has been an increased interest in the use of goal-directed therapy (GDT) in patients undergoing high-risk surgery, and various haemodynamic monitoring tools have been developed to guide perioperative care. Both the complexity of the patient and surgical procedure need to be considered when deciding whether GDT will be beneficial. Ensuring optimum tissue perfusion is paramount in the perioperative period and relies on the coherence between both macrovascular and microvascular circulations. Although global haemodynamic parameters may be optimised with the use of GDT, microvascular impairment can still persist. This review will provide an overview of both haemodynamic optimisation and microvascular assessment in the perioperative period.
authors.affiliation: Anaesthesia and Intensive Care Unit, ASUR Marche - Area Vasta n. 4, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Carsetti
authors.affiliation: Kingston Hospital, Intensive Care, Galsworthy Road, Kingston, Surrey, UK. Electronic address: ugm2xw@doctors.org.uk.
authors.forename: Ximena
authors.initials: X
authors.lastname: Watson
authors.affiliation: Kingston Hospital, Intensive Care, Galsworthy Road, Kingston, Surrey, UK; Intensive Care Unit, George's University of London, London, UK.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cecconi
mesh_terms: D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008833:Microcirculation / Q000502:physiology; D010347:Patient Care Planning / Q000639:trends; D019990:Perioperative Care
keywords: goal-directed therapy; haemodynamic monitoring; haemodynamic optimisation; perioperative