Research progress of hemodynamic monitoring and fluid management in thoracic surgery
10.3760/cma.j.issn.1008-1372.2019.03.045
- VernacularTitle:胸科手术的血流动力学监测与液体管理研究进展
- Author:
Pengcheng ZHANG
1
;
Lingmin WU
;
Xin LYU
Author Information
1. 安徽医科大学第一附属医院麻醉科
- Keywords:
Thoracic surgical procedures;
Fluid therapy;
Hemodynamics;
Review
- From:
Journal of Chinese Physician
2019;21(3):470-474
- CountryChina
- Language:Chinese
-
Abstract:
Perioperative fluid therapy is an important part of anesthesia management.Its main purpose is to maintain the perfusion of organs and tissues,ensure the balance of oxygen supply and demand,protect the function of organs and promote the rapid recovery of patients.Underload or overload of perioperative fluid infusion can affect the prognosis of patients during thoracic surgery.It is the basis of fluid management to using appropriate methods to accurately monitor of hemodynamic parameters.Goal-directed fluid therapy (GDFT),with hemodynamic parameters as targets,maximizes perioperative stroke volume through fluid loading.It plays an important role in accelerating patient recovery and reducing hospital stay and has been widely used in clinical.This article will review the progress of perioperative fluid management characteristics and circulatory function monitoring methods in thoracic surgery in order to provide guidance for clinical work.