Goal-directed perioperative haemodynamic therapy: need for a modern perioperative care loop.

Abstract

Using GRADE and modified Delphi methods, international experts in haemodynamic management from the Perioperative Operative Quality Initiative (POQI) group presented an updated consensus statement on goal-directed haemodynamic therapy. They do not recommend routine use of goal-directed haemodynamic therapy for major abdominal surgery, or fixed low-dose infusions of inotropes. They recommend goal-directed haemodynamic therapy only in specific settings such as during cardiopulmonary bypass, after cardiac surgery, and for hip fracture surgery, all with a low level of evidence. This approach has implications for future perioperative research.