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Goal-directed therapy in cardiovascular surgery: A case series study
Nader Givtaj1, Elnaz Hosseinzadeh1, Fatemeh Shima Hadipourzadeh1
1Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Journal of Cardiovascular and Thoracic Research
|November 29, 2023
Summary
Advanced hemodynamic monitoring and Goal-Directed Therapy (GDT) improve patient outcomes in complex cardiovascular surgeries. This approach offers personalized fluid management, moving beyond traditional methods for better tissue perfusion and fewer complications.
Area of Science:
- Cardiovascular Surgery
- Critical Care Medicine
- Anesthesiology
Background:
- Conventional hemodynamic monitoring (e.g., blood pressure, heart rate) often fails to accurately assess tissue perfusion quality.
- Tissue hypoperfusion and hypoxia are critical in initiating inflammatory responses and hemodynamic instability, especially after prolonged surgeries.
- Goal-Directed Therapy (GDT) has shifted treatments from static to personalized functional approaches, proving beneficial in complex surgeries.
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