ANESTEZJOLOGIA I INTENSYWNA TERAPIA<BR>Goal directed therapy – prevention of the complications 
in the early postoperative period

Ewa Kucewicz; Rafał Drwiła; Karol Krawczyk; Wojciech Kruczak; Jacek Prokopowicz; Krzysztof Toczek; Ewa Urbańska; Mirosław Ziętkiewicz; Hanna Misiołek; Piotr Knapik

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ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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abstract:

ANESTEZJOLOGIA I INTENSYWNA TERAPIA
Goal directed therapy – prevention of the complications in the early postoperative period

Ewa Kucewicz

,

Rafał Drwiła

,

Karol Krawczyk

,

Wojciech Kruczak

,

Jacek Prokopowicz

,

Krzysztof Toczek

,

Ewa Urbańska

,

Mirosław Ziętkiewicz

,

Hanna Misiołek

,

Piotr Knapik

Kardiochirurgia i Torakochirurgia Polska 2011; 8 (3): 374–378

Online publish date: 2011/09/30

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AMA

Kucewicz E, Drwiła R, Krawczyk K, et al. ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2011;8(3):374-378.

APA

Kucewicz, E., Drwiła, R., Krawczyk, K., Kruczak, W., Prokopowicz, J.,  & Toczek, K. et al. (2011). ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 8(3), 374-378.

Chicago

Kucewicz, Ewa, Rafał Drwiła, Karol Krawczyk, Wojciech Kruczak, Jacek Prokopowicz, Krzysztof Toczek,  and Ewa Urbańska et al. 2011. "ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 8 (3): 374-378.

Harvard

Kucewicz, E., Drwiła, R., Krawczyk, K., Kruczak, W., Prokopowicz, J., Toczek, K., Urbańska, E., Ziętkiewicz, M., Misiołek, H.,  and Knapik, P. (2011). ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 8(3), pp.374-378.

MLA

Kucewicz, Ewa et al. "ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 8, no. 3, 2011, pp. 374-378.

Vancouver

Kucewicz E, Drwiła R, Krawczyk K, Kruczak W, Prokopowicz J, Toczek K et al. ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications 
in the early postoperative period. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2011;8(3):374-378.

There is evidence that perioperative goal-directed therapy

(GDT) based on flow-related hemodynamic parameters improves patient outcome, particularly in high-risk patients. Mean arterial blood pressure and central venous pressure are routinely used to monitor hemodynamics but no information on blood flow can be obtained with MAP or CVP. Enhanced hemodynamic monitoring seems to be crucial in the guidance of perioperative volume therapy and cardiocirculatory support. We present different methodes of hemodynamic monitoring – pulmonary artery catheter, esophagus Doppler, FlowTrac/

Vigileo. PICCO, SvO2 and lactat concentrations. Using a optimization protocol based on enhanced hemodynamic variables it is possible to folow the results of the implemented therapy.

keywords:

ANESTEZJOLOGIA I INTENSYWNA TERAPIAGoal directed therapy – prevention of the complications in the early postoperative period

Ewa Kucewicz , Rafał Drwiła , Karol Krawczyk , Wojciech Kruczak , Jacek Prokopowicz , Krzysztof Toczek , Ewa Urbańska , Mirosław Ziętkiewicz , Hanna Misiołek , Piotr Knapik

hemodynamic monitoring, cardiac surgery, post­operative period

ANESTEZJOLOGIA I INTENSYWNA TERAPIA
Goal directed therapy – prevention of the complications in the early postoperative period

Ewa Kucewicz

,

Rafał Drwiła

,

Karol Krawczyk

,

Wojciech Kruczak

,

Jacek Prokopowicz

,

Krzysztof Toczek

,

Ewa Urbańska

,

Mirosław Ziętkiewicz

,

Hanna Misiołek

,

Piotr Knapik

hemodynamic monitoring, cardiac surgery, postoperative period