British journal of anaesthesia
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Review Meta Analysis
Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis.
Perioperative mortality after cardiac surgery has decreased in recent years although postoperative morbidity is still significant. Although there is evidence that perioperative goal-directed haemodynamic therapy (GDT) may reduce surgical mortality and morbidity in non-cardiac surgical patients, the data are less clear after cardiac surgery. The objective of this review is to perform a meta-analysis on the effects of perioperative GDT on mortality, morbidity, and length of hospital stay in cardiac surgical patients. ⋯ The use of pre-emptive GDT in cardiac surgery reduces morbidity and hospital length of stay.