Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review

Abstract

Perioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, according to patients’ needs in order to prevent organic dysfunction development. In this opinion paper we aimed to focus a discussion on possible alternatives to invasive hemodynamic monitoring in low resource settings.

Keywords

• Perioperative care
• Early goal-directed therapy
• Surgery
• Hemodynamic monitoring