Outcome impact of hemodynamic and depth of anesthesia monitoring during major cancer surgery: a before–after study

Hemodynamic and depth of anesthesia (DOA) monitoring are used in many high-risk surgical patients without well-defined indications and objectives. We implemented monitoring guidelines to rationalize hemodynamic and anesthesia management during major cancer surgery. In early 2014, we developed guidel...

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Bibliographic Details
Published in:Journal of clinical monitoring and computing 2019-06, Vol.33 (3), p.365-371
Main Authors: Lima, Mariana F., Mondadori, Luiz Antonio, Chibana, Aline Y., Gilio, Daniel B., Giroud Joaquim, Eduardo Henrique, Michard, Frederic
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Cancer
Cardiac output
Critical Care Medicine
Electronic health records
Guidelines
Health Sciences
Intensive
Medicine
Medicine & Public Health
Monitoring
Monitoring systems
Original Research
Oxygen content
Patients
Statistics for Life Sciences
Stroke volume
Surgery
Surgical outcomes
Urinary tract
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Description
Summary:Hemodynamic and depth of anesthesia (DOA) monitoring are used in many high-risk surgical patients without well-defined indications and objectives. We implemented monitoring guidelines to rationalize hemodynamic and anesthesia management during major cancer surgery. In early 2014, we developed guidelines with specific targets (Mean arterial pressure > 65 mmHg, stroke volume variation  2.5 l min −1  m −2 , central venous oxygen saturation > 70%, 40 
ISSN:1387-1307
1573-2614
DOI:10.1007/s10877-018-0190-8