Hemodynamic optimization through
Perioperative Goal-Directed Therapy (PGDT)
WHILE YOU CAN’T PREPARE FOR EVERY POTENTIAL RISK, HEMODYNAMIC OPTIMIZATION THROUGH PERIOPERATIVE GOAL-DIRECTED THERAPY (PGDT) MAY HELP YOU AVOID A NUMBER OF THE MOST COMMON PREVENTABLE PATIENT COMPLICATIONS.1-3
Reduce postoperative complications.
Hemodynamic optimization through PGDT in high-risk surgery has been shown to reduce post-surgical complications, including acute kidney injury (AKI), urinary tract infection (UTI), surgical site infection (SSI), pneumonia, and major/minor GI complications, and may help improve your patients’ postoperative recovery.1,2
Providing optimal fluid administration is important because both hypo- and hypervolemia may deleteriously affect perioperative organ function. The graphic describes the goal of PGDT. Exceeding or falling short of this range may result in increased morbidity. Hemodynamic optimization through PGDT using advanced hemodynamic parameters can ensure the patient is maintained in the optimal range.4
In high-risk and moderate-risk surgical cases, total complications in patient undergoing major abdominal surgery were reduced by 56%.1
In hip replacement surgery, postoperative complications were reduced by 20%.2
Dynamic vs Static Parameters.
Mean arterial pressure and central venous pressure have historically been the primary parameters utilized for assessing fluid responsiveness. But to minimize unknowns and more accurately determine your patient’s fluid status, it’s crucial to see the bigger picture with integrated, goal-directed hemodynamic management and advanced hemodynamic parameters, such as SV, SVV, and ScvO2.
Defining PGDTPerioperative Goal-Directed Therapy - PGDT.
A clinician-directed treatment protocol, which defines and treats to a goal, using advanced hemodynamic parameters to improve patient outcomes.5-9Versus Conventional Care.
Conventional Care is defined as managing patients using static parameters and other indicators such as blood pressure, central venous pressure, heart rate, and urine output.Helping to advance the care of the critically ill for 40 years, Edwards Lifesciences seeks to provide the valuable information you need, the moment you need it. Through continuing collaboration with you, ongoing education and our never-ending quest for advancement, our goal is to deliver clarity in every moment.