The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries
One of the options for solving the problem of a “non-standard” patient undergoing a major and traumatic operation, perhaps, is the protocol-personalized approach to hemodynamic management.The objective: to study the efficacy and safety of using a modified protocol-personalized approach to hemodynami...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2021-08-01
|
| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/554 |
| _version_ | 1797702761663430656 |
|---|---|
| author | K. Е. Kharlamov M. Ya. Yadgarov V. V. Likhvantsev |
| author_facet | K. Е. Kharlamov M. Ya. Yadgarov V. V. Likhvantsev |
| author_sort | K. Е. Kharlamov |
| collection | DOAJ |
| description | One of the options for solving the problem of a “non-standard” patient undergoing a major and traumatic operation, perhaps, is the protocol-personalized approach to hemodynamic management.The objective: to study the efficacy and safety of using a modified protocol-personalized approach to hemodynamic management during surgical interventions on abdominal organs in elderly and senile patients.Subjects and Methods. A randomized prospective-retrospective clinical trial was conducted in parallel groups: Group 1 (control) - standard management of the perioperative period; Group 2 - standard management supplemented by the protocol-personalized approach to hemodynamic management.Results. Patients in the main group had the best parameters as per MACE outcomes (RR: 0.462, [95% CI: 0.251-0.850] p = 0.038). In the intra- and postoperative period, patients in the control group had a relatively higher risk of arrhythmias (RR: 2.517 [95% CI: 1.218; 5,200] p = 0.017).Conclusion. The use of the protocol-personalized approach results in better MACE outcomes (RR: 0.462, 95% CI: 0.251-0.850; p = 0.038) during surgical interventions on the abdominal organs in elderly and senile patients, and also, reduces the risk of arrhythmias (RR: 2.517, 95% CI:1.218; 5.200) p = 0.017. |
| first_indexed | 2024-03-12T04:54:39Z |
| format | Article |
| id | doaj.art-4dc3f349c9ce4a6894eada59b913452c |
| institution | Directory Open Access Journal |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| last_indexed | 2024-03-12T04:54:39Z |
| publishDate | 2021-08-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj.art-4dc3f349c9ce4a6894eada59b913452c2023-09-03T09:15:36ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532021-08-01184556110.21292/2078-5658-2021-18-4-55-61461The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal SurgeriesK. Е. Kharlamov0M. Ya. Yadgarov1V. V. Likhvantsev2НИИ общей реаниматологии им. В. А. НеговскогоНИИ общей реаниматологии им. В. А. НеговскогоНИИ общей реаниматологии им. В. А. Неговского; Московский областной научно-исследовательский клинический институт им. М. Ф. Владимирского; Первый МГМУ им. И. М. СеченоваOne of the options for solving the problem of a “non-standard” patient undergoing a major and traumatic operation, perhaps, is the protocol-personalized approach to hemodynamic management.The objective: to study the efficacy and safety of using a modified protocol-personalized approach to hemodynamic management during surgical interventions on abdominal organs in elderly and senile patients.Subjects and Methods. A randomized prospective-retrospective clinical trial was conducted in parallel groups: Group 1 (control) - standard management of the perioperative period; Group 2 - standard management supplemented by the protocol-personalized approach to hemodynamic management.Results. Patients in the main group had the best parameters as per MACE outcomes (RR: 0.462, [95% CI: 0.251-0.850] p = 0.038). In the intra- and postoperative period, patients in the control group had a relatively higher risk of arrhythmias (RR: 2.517 [95% CI: 1.218; 5,200] p = 0.017).Conclusion. The use of the protocol-personalized approach results in better MACE outcomes (RR: 0.462, 95% CI: 0.251-0.850; p = 0.038) during surgical interventions on the abdominal organs in elderly and senile patients, and also, reduces the risk of arrhythmias (RR: 2.517, 95% CI:1.218; 5.200) p = 0.017.https://www.vair-journal.com/jour/article/view/554enhanced recovery after surgeryцель-ориентированная терапиякомпозитный исходперсонифицированная терапия |
| spellingShingle | K. Е. Kharlamov M. Ya. Yadgarov V. V. Likhvantsev The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries Вестник анестезиологии и реаниматологии enhanced recovery after surgery цель-ориентированная терапия композитный исход персонифицированная терапия |
| title | The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries |
| title_full | The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries |
| title_fullStr | The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries |
| title_full_unstemmed | The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries |
| title_short | The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries |
| title_sort | protocol personalized perioperative hemodynamic management as part of the eras protocol in abdominal surgeries |
| topic | enhanced recovery after surgery цель-ориентированная терапия композитный исход персонифицированная терапия |
| url | https://www.vair-journal.com/jour/article/view/554 |
| work_keys_str_mv | AT kekharlamov theprotocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries AT myayadgarov theprotocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries AT vvlikhvantsev theprotocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries AT kekharlamov protocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries AT myayadgarov protocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries AT vvlikhvantsev protocolpersonalizedperioperativehemodynamicmanagementaspartoftheerasprotocolinabdominalsurgeries |