• Crit Care · Feb 2006

    Comment Review

    Advances in protocolising management of high risk surgical patients.

    • E David Bennett.
    • St George's Hospital, Blackshaw Road, London SW17 0QT, UK. ebennett4@mac.com
    • Crit Care. 2006 Feb 1; 10 (1): 124.

    AbstractDespite studies clearly demonstrating significant benefit from increasing oxygen delivery in the peri-operative period in high risk surgical patients, the technique has not been widely accepted. This is due to a variety of reasons, including non-availability of beds, particularly in the pre-operative period, and the requirement of inserting a pulmonary artery catheter. There are now data that suggest that increasing oxygen delivery post-operatively using a nurse-led protocol based on pulse contour analysis leads to a major improvement in outcome with reduction in infection rate and length of hospital stay.

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