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Related Experiment Video

Updated: Jan 12, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
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Perioperative hemodynamic optimization - Adults including obstetrics.

Jean-Luc Fellahi, Matthieu Biais, Osama Abou-Arab

    Anaesthesia, Critical Care & Pain Medicine
    |November 1, 2025
    PubMed
    Summary
    This summary is machine-generated.

    The French Society for Anaesthesia and Intensive Care developed 24 guidelines for perioperative hemodynamic optimization. These evidence-based recommendations aim to improve patient care during surgery and intensive care.

    Keywords:
    GuidelinesHaemodynamicsPerioperative

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    Area of Science:

    • Anesthesiology
    • Intensive Care Medicine
    • Clinical Guidelines

    Background:

    • The French Society for Anaesthesia and Intensive Care (SFAR) previously published guidelines on perioperative fluid loading in 2012.
    • There was a need to update these guidelines based on current evidence and methodologies.

    Purpose of the Study:

    • To develop updated guidelines for perioperative hemodynamic optimization.
    • To synthesize the latest evidence using the GRADE methodology.

    Main Methods:

    • A committee of 27 experts was convened, adhering to conflict of interest policies and without industry funding.
    • The GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology was employed to assess evidence quality.
    • Literature analysis focused on five key areas: arterial pressure, cardiac output indices, tissue perfusion, fluid/vasopressor/inotrope use, and economic impact, using PICO format.

    Main Results:

    • Twenty-four guidelines for perioperative hemodynamic optimization were formulated.
    • Two guidelines have a high level of evidence (GRADE 1), and eight have a low level of evidence (GRADE 2).
    • Eight guidelines were based on expert opinion due to the inability to apply the GRADE method, and decisions could not be reached for six questions.

    Conclusions:

    • The SFAR has established 24 guidelines for perioperative hemodynamic optimization.
    • These guidelines were developed with a high degree of expert consensus, reflecting current best practices.