Impact of goal‐directed hemodynamic therapy on perioperative outcomes in head and neck free flap surgery: A before‐and‐after pilot study

Autor: Justine Philteos, Stuart A. McCluskey, Sophia Emerson, George Djaiani, David Goldstein, Sabri Soussi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Health Science Reports, Vol 7, Iss 3, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2398-8835
DOI: 10.1002/hsr2.1943
Popis: Abstract Background Free flap reconstruction for head and neck cancer is associated with a high risk of perioperative complications. One of the modifiable risk factors associated with perioperative morbidity is intraoperative hypotension (IOH). The main aim of this pilot study is to determine if the intraoperative use of goal‐directed hemodynamic therapy (GDHT) is associated with a reduction in the number of IOH events in this population. Methods A before‐and‐after study design. The patients who had intraoperative GDHT were compared to patients from a previous period before the implementation of GDHT. The primary outcome was the number of IOH episodes defined as five or more successive minutes with a mean arterial pressure
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