The Protocol-Personalized Perioperative Hemodynamic Management as Part of the ERAS Protocol in Abdominal Surgeries

One of the options for solving the problem of a “non-standard” patient undergoing a major and traumatic operation, perhaps, is the protocol-personalized approach to hemodynamic management. The objective:  to study the efficacy and safety of using a modified protocol-personalized approach to hemodyna...

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Published inVestnik anesteziologii i reanimatologii Vol. 18; no. 4; pp. 55 - 61
Main Authors Kharlamov, K. Е., Yadgarov, M. Ya, Likhvantsev, V. V.
Format Journal Article
LanguageEnglish
Russian
Published New Terra Publishing House 30.08.2021
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ISSN2078-5658
2541-8653
2541-8653
DOI10.21292/2078-5658-2021-18-4-55-61

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Summary:One of the options for solving the problem of a “non-standard” patient undergoing a major and traumatic operation, perhaps, is the protocol-personalized approach to hemodynamic management. The objective:  to study the efficacy and safety of using a modified protocol-personalized approach to hemodynamic management during surgical interventions on abdominal organs in elderly and senile patients. Subjects and Methods. A randomized prospective-retrospective clinical trial was conducted in parallel groups: Group 1 (control) - standard management of the perioperative period; Group 2 - standard management supplemented by the protocol-personalized approach to hemodynamic management. Results.  Patients in the main group had the best parameters as per MACE outcomes (RR: 0.462, [95% CI: 0.251-0.850] p = 0.038). In the intra- and postoperative period, patients in the control group had a relatively higher risk of arrhythmias (RR: 2.517 [95% CI: 1.218; 5,200] p = 0.017). Conclusion.  The use of the protocol-personalized approach results in better MACE outcomes (RR: 0.462, 95% CI: 0.251-0.850; p = 0.038) during surgical interventions on the abdominal organs in elderly and senile patients, and also, reduces the risk of arrhythmias (RR: 2.517, 95% CI:1.218; 5.200) p = 0.017.
ISSN:2078-5658
2541-8653
2541-8653
DOI:10.21292/2078-5658-2021-18-4-55-61