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Riassunto

La patologia cardiovascolare è la principale causa di insorgenza di complicanze postoperatorie e di incremento di mortalità dopo interventi di chirurgia non cardiaca.

Un’accurata valutazione preoperatoria è essenziale nella gestione intraoperatoria e postoperatoria di pazienti con malattia coronarica. Il monitoraggio delle funzioni cardiovascolari assume un ruolo fondamentale nella prevenzione delle complicanze legate all’intervento chirurgico. Obiettivo essenziale è l’ottimizzazione dell’assetto emodinamico nei pazienti critici e a rischio di scompenso cardiocircolatorio, per assicurare una buona perfusione del circolo coronarico, cerebrale, renale e midollare e un adeguato apporto di ossigeno. In questo capitolo saranno prese in esame le principali tecniche di monitoraggio della perfusione distrettuale nei pazienti sottoposti a interventi di chirurgia vascolare maggiore.

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Dei Poli, M., Luci, R., Colombo, C. (2011). Il paziente sottoposto a chirurgia vascolare maggiore. In: Allaria, B., Dei Poli, M. (eds) Il monitoraggio delle funzioni vitali nel perioperatorio non cardiochirurgico. Springer, Milano. https://doi.org/10.1007/978-88-470-1723-8_15

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  • DOI: https://doi.org/10.1007/978-88-470-1723-8_15

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