Izvorni znanstveni članak

Intraoperative cardiovascular monitoring in hypertensive patients

ZOKA MILAN ; Department of Anaesthesia and Intensive Care Medicine, St James’s University Hospital, Leeds LS9 7TF, UK
VIMI REWARI ; Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi – 110029, India

Sažetak

Bacground and Purpose: Hypertensive patients are more prone to
perioperative ischaemia, arrythmias and cardiovascular instability. Attention should be paid to the presence of target organ damage, such as coronary artery disease.

Material and Method: Haemodynamically unstable patients undergoing
major surgery require more complex haemodynamic monitoring. Multiple studies have demonstrated the favourable outcome achieved by goal-directed fluid management during the intraoperative period.

Conclusion: The trend in intraoperative haemodynamic monitoring, a
key feature of anaesthetic practice is towards less invasive systems that provide continuous information. A balance is needed between the hazards of an invasive approach and the desire for a continuous stream of accurate information that is robust enough to withstand the surgical and physiological challenges in hypertensive patients. In spite of its importance for anaesthetists, there is no consensus as to which system is best. This review examines the recent developments in haemodynamic monitoring.

Ključne riječi

hypertension; monitoring

Hrčak ID:

74139

URI

https://hrcak.srce.hr/74139

Datum izdavanja:

31.10.2011.

Posjeta: 1.368 *