Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review
Perioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, accordi...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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Elsevier
2024-03-01
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Series: | Brazilian Journal of Anesthesiology |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001423000945 |
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author | Suzana Margareth Lobo João Manoel da Silva Junior Luiz Marcelo Malbouisson |
author_facet | Suzana Margareth Lobo João Manoel da Silva Junior Luiz Marcelo Malbouisson |
author_sort | Suzana Margareth Lobo |
collection | DOAJ |
description | Perioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, according to patients’ needs in order to prevent organic dysfunction development. In this opinion paper we aimed to focus a discussion on possible alternatives to invasive hemodynamic monitoring in low resource settings. |
first_indexed | 2024-04-24T21:42:45Z |
format | Article |
id | doaj.art-92968b66334c48959eb7a5891e94629e |
institution | Directory Open Access Journal |
issn | 0104-0014 |
language | English |
last_indexed | 2024-04-24T21:42:45Z |
publishDate | 2024-03-01 |
publisher | Elsevier |
record_format | Article |
series | Brazilian Journal of Anesthesiology |
spelling | doaj.art-92968b66334c48959eb7a5891e94629e2024-03-21T05:35:34ZengElsevierBrazilian Journal of Anesthesiology0104-00142024-03-01742744460Improving perioperative care in low-resource settings with goal-directed therapy: a narrative reviewSuzana Margareth Lobo0João Manoel da Silva Junior1Luiz Marcelo Malbouisson2Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil; Corresponding author. S.M. LoboHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, BrazilPerioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, according to patients’ needs in order to prevent organic dysfunction development. In this opinion paper we aimed to focus a discussion on possible alternatives to invasive hemodynamic monitoring in low resource settings.http://www.sciencedirect.com/science/article/pii/S0104001423000945Perioperative careEarly goal-directed therapySurgeryHemodynamic monitoring |
spellingShingle | Suzana Margareth Lobo João Manoel da Silva Junior Luiz Marcelo Malbouisson Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review Brazilian Journal of Anesthesiology Perioperative care Early goal-directed therapy Surgery Hemodynamic monitoring |
title | Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review |
title_full | Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review |
title_fullStr | Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review |
title_full_unstemmed | Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review |
title_short | Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review |
title_sort | improving perioperative care in low resource settings with goal directed therapy a narrative review |
topic | Perioperative care Early goal-directed therapy Surgery Hemodynamic monitoring |
url | http://www.sciencedirect.com/science/article/pii/S0104001423000945 |
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