Perioperative Mortality is Reduced by Cardiovascular Optimization
Throughout the developed world increasingly complex surgery is being offered to an elderly population. Many of the procedures were pioneered in young, fit subjects but are now virtually routine in higher risk, elderly patients with various concurrent disease states. The perioperative mortality for these patients is high, and most of the patients who do not survive will die from multiple organ dysfunction syndrome (MODS) which accounts for up to 80% of surgical intensive care deaths in the US, and for which the prognosis has altered little in the last 20 years . There seems to be a widespread assumption that this high perioperative mortality is the inevitable consequence of performing complicated surgery on high risk patients, and is often justified by pointing out that the patients involved “have been given a chance” by undergoing surgery.
KeywordsCardiac Output Cardiac Index Pulmonary Artery Catheter Multiple Organ Dysfunction Syndrome Protocol Group
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