Perioperative cardiovascular monitoring of high-risk patients: A consensus of 12

J.-L. Vincent (Corresponding Author), P. Pelosi, R. Pearse, D. Payen, A. Perel, A. Hoeft, S. Romagnoli, V.M. Ranieri, C. Ichai, P. Forget, G.D. Rocca, A. Rhodes

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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.

Original languageEnglish
Article number224
JournalCritical Care
Publication statusPublished - 8 May 2015

Bibliographical note

RP has received equipment loans from LiDCO Ltd and has performed consultancy work for Edwards Lifesciences, Covidien (Dublin, Ireland), and Masimo. AP has received advisory board fees from Pulsion Medical Systems. AH has received lecture honoraria from Edwards Lifesciences and is an advisory board member without fees for UPmed (Munich, Germany). PF has received honoraria from Masimo for presentations in congresses. AR has received lecture and advisory board fees from LiDCO, Edwards Lifesciences, and Masimo. J-LV, PP, DP, SR, VMR, CI, and GDR declare that they have no competing interests.


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