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Goal-directed haemodynamic therapy in cardiac surgery
Southern African Journal of Anaesthesia and Analgesia | Vol 17, No 1 | a554 |
DOI: https://doi.org/10.1080/22201173.2011.10872766
| © 2011 Copyright Status: Not provided. Contact Holding Institution to verify copyright status. Rights Holder: South African Society of Anaesthesiologists
Submitted: 03 November 2025 | Published: 01 January 2011
Submitted: 03 November 2025 | Published: 01 January 2011
About the author(s)
Matthias Heringlake,, GermanyFull Text:
PDF (498KB)Abstract
The concept of goal-directed haemodynamic optimisation was developed in the late 70s and early 80s of the last century by the surgeon W C Shoemaker.1 Observational studies showed that high-risk surgical patients that did not survive after major non-cardiac surgery were characterised by the inability to adapt oxygen delivery to the perioperatively increased oxygen demand.2,3 He suggested improving patients’ outcomes by optimising the cardiac index and oxygen delivery to the haemodynamic levels observed in survivors. Stimulated by Shoemaker’s ideas, he and various other researchers performed prospective studies that clearly supported this concept.4,5,6,7
Keywords
Goal-directed hemodynamic therapy; cardiac surgery
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