Influência da saturação venosa central de oxigênio na mortalidade hospitalar de pacientes cirúrgicos

Silva, João Manoel da; Oliveira, Amanda Maria Ribas Rosa de; Morais, Sandra Zucchi de; Araújo, Luciana Sales de; Victoria, Luiz Gustavo F; Marubayashi, Lauro Yoiti

doi:10.1590/s0034-70942010000600005

Cited by 2 publications

(1 citation statement)

References 12 publications

(17 reference statements)

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“…Other authors reported much higher levels of ScvO 2 (>80%) intra-operatively and that only preoperative levels of ScvO 2 <70% were predictive of postoperative complications [51]. …”

Section: What Are the Best Hemodynamic Targets?mentioning

confidence: 99%

Clinical review: What are the best hemodynamic targets for noncardiac surgical patients?

Lobo

Oliveira

2013

Critical Care

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Perioperative hemodynamic optimization, or goal-directed therapy (GDT), has been show to significantly decrease complications and risk of death in high-risk patients undergoing noncardiac surgery. An important aim of GDT is to prevent an imbalance between oxygen delivery and oxygen consumption in order to avoid the development of multiple organ dysfunction. The utilization of cardiac output monitoring in the perioperative period has been shown to improve outcomes if integrated into a GDT strategy. GDT guided by dynamic predictors of fluid responsiveness or functional hemodynamics with minimally invasive cardiac output monitoring is suitable for the majority of patients undergoing major surgery with expected significant volume shifts due to bleeding or other significant intravascular volume losses. For patients at higher risk of complications and death, such as those with advanced age and limited cardiorespiratory reserve, the addition of dobutamine or dopexamine to the treatment algorithm, to maximize oxygen delivery, is associated with better outcomes.

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“…Other authors reported much higher levels of ScvO 2 (>80%) intra-operatively and that only preoperative levels of ScvO 2 <70% were predictive of postoperative complications [51]. …”

Section: What Are the Best Hemodynamic Targets?mentioning

confidence: 99%