Cardiac surgery patients present considerable variation in pre-operative hemodynamic variables

Autor: Christian Lindskov, H. H. Kure, M. Nygaard, Erik Sloth, Anne-Grethe Lorentzen, C.-J. Jakobsen
Rok vydání: 2008
Předmět:
Zdroj: Acta Anaesthesiologica Scandinavica. 52:952-958
ISSN: 0001-5172
Popis: Background: It is essential to control hemodynamics in cardiac surgery. Patients are often monitored extensively in order to optimize hemodynamic performance. However, pre-operative values are normally unknown. Furthermore, hemodynamic goals may seem arbitrary and the lack of an evidence-based consensus may lead to both under- and over-treatment. The aim of this study was to evaluate the variables most commonly used for hemodynamic guidance in the post-operative period. Methods: Ten patients scheduled for elective cardiac surgery were followed with invasive hemodynamic monitoring the night before surgery. All data were recorded automatically and electronically. Results: We found considerable inter-patient differences and intra-patient variation. The greatest intra-patient variation was found in the cardiac index (CI), ranging from 1.9 to 5.3 l/min/m2. Four patients had periodic CI
Databáze: OpenAIRE