• Eur J Vasc Endovasc Surg · May 2002

    Randomized Controlled Trial Comparative Study Clinical Trial

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

    • M Bonazzi, F Gentile, G M Biasi, S Migliavacca, D Esposti, M Cipolla, M Marsicano, F Prampolini, M Ornaghi, S Sternjakob, and Y Tshomba.
    • Department of Anesthesia and Intensive Care Unit, Bassini Hospital, via M. Gorki 50, 20092 Cinisello Balsamo, Milan, Italy.
    • Eur J Vasc Endovasc Surg. 2002 May 1;23(5):445-51.

    Objectiveto evaluate whether perioperative haemodynamic optimisation influences outcome from infrarenal abdominal aortic aneurysm repair.Methodsa 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.Resultsthere were no differences in terms of in-hospital mortality, cardiovascular morbidity, postoperative renal failure or duration of hospital stay between the groups.Conclusionsin this study perioperative haemodynamic optimisation was not beneficial.Copyright 2002 Elsevier Science Ltd.

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