Background Patients undergoing vascular surgery comprise the highest risk group for perioperative cardiac mortality and morbidity after noncardiac procedures. Many current guidelines recommend the use of h-blockers in all patients undergoing vascular surgery. We report a trial of the perioperative administration of metoprolol and its effects on the incidence of cardiac complications at 30 days ...

Background Excessive or inadequate fluid administration causes complications, but despite this, during noncardiac surgery is highly variable. Goal-directed management helps optimize the amount and timing of administration; however, implementation difficult because algorithms are complex. The authors therefore tested performance Acumen Assisted Fluid Management software (Edwards Lifesciences, US...

PURPOSE Prolonged duration of cardiopulmonary bypass aggravates the degree of inflammation and coagulopathy. We investigated the influence of 6% hydroxyethyl starch (HES) 130/0.4 on coagulation and inflammation compared with albumin when used for both cardiopulmonary bypass priming and perioperative fluid therapy in patients undergoing complex valvular heart surgery. MATERIALS AND METHODS Fif...

Background: Postoperative complications are frequent causes of postoperative mortality. Such complications may also lead to a prolonged period with decreased functional and cognitive status. Perioperative care is a factor in postoperative morbidity and mortality. Until now no common international definitions and classifications of postoperative complications have been established. The group of ...

children: a survey of current prescribing practice. Br J Anaesth 2006; 97: 371–9 15 Hongnat JM, Murat I, Saint-Maurice C. Evaluation of current paediatric guidelines for fluid therapy using two different dextrose hydrating solutions. Paediatr Anaesth 1991; 1: 95–100 16 Dubois MC, Gouyet L, Murat I, Saint-Maurice C. Lactated Ringer with 1% dextrose: an appropriate solution for peri-operative flu...

BACKGROUND Restrictive intraoperative fluid management is increasingly recommended for patients undergoing esophagectomy. Controversy still exists about the impact of postoperative fluid management on perioperative outcome. METHODS We retrospectively examined 335 patients who had undergone esophagectomy for esophageal cancer at the University Hospital Freiburg between 1996 and 2014 to investi...