Advanced Minimally Invasive Hemodynamic Monitoring of the High-risk Major Surgery Patient

  • D. W. Green


Despite major advances in monitoring technology in the last 20 years or so, perioperative management of the high-risk major surgery patient remains virtually unchanged. The vast majority of patients receive preoperative assessment which is neither designed to quantify functional capacity nor able to predict outcome. Anesthesiologists then usually monitor these patients intraoperatively using technology (e.g., oxygen saturation by pulse oximetry [SpO2], invasive blood pressure and central venous pressure [CVP] monitoring, end-tidal carbon dioxide [ETCO2], and anesthetic agent monitoring) that has not undergone major changes since the mid to late 80s. Patients are then consigned to a postoperative environment where they are managed by the most junior surgical and anesthesia staff. It is not surprising that outcome, in the UK at least, remains poor in high-risk patients [1].


Cardiac Output Mean Arterial Pressure Systemic Vascular Resistance Fluid Responsiveness Stroke Volume Variation 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • D. W. Green
    • 1
  1. 1.Department of AnesthesiologyKing’s College HospitalLondonUK

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