Interpretation of the statement from the European Society of Anaesthesiology and Intensive Care:Intra-operative hemodynamic monitoring and management of adults having noncardiac surgery
10.3969/j.issn.1006-5725.2025.21.001
- VernacularTitle:欧洲麻醉与重症医学会《成人非心脏手术的术中血流动力学监测和管理声明》的解读
- Author:
Wanzhuo XU
1
;
Lulong BO
1
Author Information
1. 中国人民解放军海军军医大学第一附属医院麻醉学部(上海 200433)
- Publication Type:Journal Article
- Keywords:
adult non-cardiac surgery;
hemodynamics;
anesthesia;
monitoring;
mean arterial pressure;
fluid responsiveness
- From:
The Journal of Practical Medicine
2025;41(21):3305-3310
- CountryChina
- Language:Chinese
-
Abstract:
Intraoperative hemodynamic monitoring and management are essential components of periopera-tive care for adult patients undergoing non-cardiac surgery,as they are critical for maintaining adequate tissue perfusion and preventing organ dysfunction.In June 2025,the European Society of Anaesthesiology and Intensive Care(ESAIC)published the"Statement on Intraoperative Hemodynamic Monitoring and Management in Adult Non-Cardiac Surgery."Developed by a panel of 25 international multidisciplinary experts using an evidence-based approach,this statement addresses six key domains:arterial blood pressure management,heart rate regulation,stroke volume and cardiac output monitoring,assessment of cardiac preload and fluid responsiveness,application of microcirculation monitoring techniques,and integrated management of anesthesia depth with cerebral oxygen saturation monitoring.This article provides a comprehensive interpretation of the statement's core recommenda-tions,including guidance on the selection and limitations of monitoring modalities,as well as specific management targets for instance,recommending a mean arterial pressure of at least 60 mmHg as a threshold for intervention and explicitly advising against the use of arterial pressure as a surrogate for cardiac output.The objective is to offer practical clinical guidance for anesthesiologists and to enhance the precision and effectiveness of intraoperative hemodynamic management in adult non-cardiac surgical patients.
