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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2017
Review[Impact of Cardiac Anaesthesia on Patient Outcome].
- Martina Nowak-Machen.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2017 Jul 1; 52 (7-08): 498-511.
AbstractThe perioperative management of complex patients in a highly technical and subspecialized environment is the domain of the cardiac anesthesiologist. Evidence suggests that hemodynamic management using goal directed hemodynamic therapy (GDHT) improves patient outcome. Organ protection remains a main concern during cardiac surgery using extracorporeal circulation. Mortality can be decreased when remote ischemic preconditioning techniques (RIPC) are being used. Neurological outcomes can be improved with near-infrared-spectometry (NIRS), volatile anesthetics increase myocardial protection through preconditioning and perioperative echocardiography increases overall patient survival.Georg Thieme Verlag KG Stuttgart · New York.
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