Impact of perioperative haemodynamic monitoring on cardiac morbidity after major vascular surgery in low risk patients. A randomised pilot trial

Eur J Vasc Endovasc Surg. 2002 May;23(5):445-51. doi: 10.1053/ejvs.2002.1617.

Abstract

Objective: to evaluate whether perioperative haemodynamic optimisation influences outcome from infrarenal abdominal aortic aneurysm repair.

Methods: a consecutive series of 100 eligible patients were randomised to either haemodynamic optimisation through the use of a pulmonary artery catheter (CI > 3.0 l/min/sqm, PWP > 10 and <18 mmHg, SVR <1450 dyne/sec/cm(-5), DO(2)> 600 ml/min/sqm) or conventional treatment.

Results: there were no differences in terms of in-hospital mortality, cardiovascular morbidity, postoperative renal failure or duration of hospital stay between the groups.

Conclusions: in this study perioperative haemodynamic optimisation was not beneficial.

Publication types

  • Clinical Trial
  • Comparative Study
  • Evaluation Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / mortality
  • Aortic Aneurysm, Abdominal / surgery
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / mortality
  • Coronary Artery Disease / surgery*
  • Echocardiography
  • Endpoint Determination
  • Hemodynamics / physiology*
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Morbidity
  • Perioperative Care*
  • Pilot Projects
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Prospective Studies
  • Risk Factors
  • Severity of Illness Index
  • Survival Analysis
  • Treatment Outcome
  • Vascular Surgical Procedures*