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Perioperative hemodynamic monitoring and management

Guest Editors:
Aalap Shah: Department of Anesthesiology & Perioperative Medicine, UCI Health, USA
Guo-wei Tu: Cardiac Intensive Care Center, Zhongshan Hospital, Fudan University, China
Kanhua Yin: Department of Surgery, Washington University in St. Louis School of Medicine, USA



In recent years, perioperative hemodynamic monitoring techniques have made great strides as the accelerating introduction of noninvasive monitoring instruments such as critical care ultrasound. As performing standardized hemodynamic monitoring is a significant routine for clinicians with respective specialties in intensive care unit, these strides enable them to produce better hemodynamic status observation, then provide timely while targeted interventions, and thereby improve patient prognosis. Furthermore, the concept of resuscitation has also undergone a radical transformation, changing from a cardiac output-centered strategy into a perfusion-driven strategy. 

To  discuss the core issues of perioperative hemodynamic monitoring and offer clinicians and researchers globally to contribute their latest discoveries and reflections to help advance our understanding of this important topic, we have published a BMC Anesthesiology collection, “Perioperative Hemodynamic Monitoring and Management”. We present this collection to introduce the latest advances in perioperative hemodynamic monitoring in recent years and better inform the clinical practice.

Meet the Guest Editors

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Aalap Shah: Department of Anesthesiology & Perioperative Medicine, UCI Health, USA

Dr. Shah is a general and pediatric anesthesiologist with a specific academic focus in the use of clinical informatics, digital health, and continuous quality improvement tools to improve perioperative outcomes for our patients and optimizing provider workflows. He is also interested in identifying and bridging gaps in best practices delivered to his patients between academic and community healthcare settings.

Guo-wei Tu: Cardiac Intensive Care Center, Zhongshan Hospital, Fudan University, Shanghai, China

Dr. Guo-Wei Tu received his MD Degree in Medicine at Fudan University, China. He is a Professor at the cardiac surgery intensive care unit of Zhongshan Hospital, Fudan University, China. In 2016, he was awarded with the Chinese Young Investigator Award for his research in critical care medicine. Dr Tu was awarded as Excellent Academic Leader of Shanghai and Top Young Talent of Shanghai in 2020. He has published more than 60 articles in SCI-indexed journals and serves as guest editor and editorial board member of many scientific journals including BMC Cardiovascular Disorders, Frontiers in Cardiovascular Medicine, Cardiology Research and Practice et al.

Kanhua Yin: Department of Surgery, Washington University in St. Louis School of Medicine, USA

Dr. Kanhua Yin is currently a surgery resident at Washington University in St. Louis. He received training in both clinical medicine and public health and has a long-standing interest in clinical outcomes research, particularly cardiovascular surgery, perioperative care, surgical oncology, and clinical informatics. Dr. Yin has published over 80 peer-reviewed articles, and his work has been included in multiple national and international clinical guidelines.

About the collection

In recent years, perioperative hemodynamic monitoring techniques have made great strides as the accelerating introduction of noninvasive monitoring instruments such as critical care ultrasound. As performing standardized hemodynamic monitoring is a significant routine for clinicians with respective specialties in intensive care unit, these strides enable them to produce better hemodynamic status observation, then provide timely while targeted interventions, and thereby improve patient prognosis. Furthermore, the concept of resuscitation has also undergone a radical transformation, changing from a cardiac output-centered strategy into a perfusion-driven strategy.

To further discuss the core issues of perioperative hemodynamic monitoring and invite the clinicians and researchers globally to contribute their latest discoveries and reflections to help advance our understanding of this important topic, we have decided to launch a BMC Anesthesiology collection, “Perioperative Hemodynamic Monitoring and Management”. We hope to take this opportunity to introduce the latest advances in perioperative hemodynamic monitoring in recent years and better inform the clinical practice.

We invite submissions from all aspects of this developing field including, but not limited to:

• Fluid responsiveness

• Non-invasive hemodynamic monitoring tools

• Vasoactive agents in shock resuscitation

• Cardiac output monitoring

• Microcirculatory evaluation

• Perioperative complications related to hemodynamics

• Early identification and management of shock

• Extracorporeal membrane oxygenation (ECMO)
 

Image credit: © FG Trade / Getty Images / iStock

  1. Left ventricular-arterial coupling is assessed as the ratio of left ventricular end-systolic elastance (Ees) to arterial elastance (Ea). Previous studies have introduced non-invasive estimations of Ees/Ea. It ...

    Authors: Yurie Obata, Yuka Matsuki, Kazuhiro Okafuji and Kenji Shigemi
    Citation: BMC Anesthesiology 2024 24:83
  2. Esketamine is increasingly used in clinical anesthesia. The effect of esketamine on the blood flow velocity of the middle cerebral artery has a clinical guiding effect. To investigate the effect of esketamine ...

    Authors: Shuang Yan, Qiying Li and Kaihua He
    Citation: BMC Anesthesiology 2024 24:66
  3. Left ventricular diastolic dysfunction has a significant impact on perioperative morbidity and mortality, and its incidence is high in elderly individuals. Anesthetic agents may impair diastolic function, whic...

    Authors: Özge Köner, Mustafa Aytek Şimşek, Nurcan Kızılcık, Çiğdem Koca and Ayça Türer Cabbar
    Citation: BMC Anesthesiology 2024 24:45
  4. Remimazolam, as a novel anesthetic, has recently been shown to improve hemodynamic stability during anesthesia induction and maintenance; however, it has not been reported in the hypertensive population. This ...

    Authors: Yaqi Huang, Ting Yan, Guiting Lu, Huirong Luo, Zhongmeng Lai and Liangcheng Zhang
    Citation: BMC Anesthesiology 2023 23:409
  5. Mechanical ventilation during general anesthesia may impair airway mucosal function. This study aimed to investigate the effect of pressure-controlled ventilation-volume guaranteed (PCV-VG) on bronchial mucus ...

    Authors: Chao Deng, Tao Xu, Xue-kai Wang and Deng-feng Gu
    Citation: BMC Anesthesiology 2023 23:379
  6. Based on the controversy surrounding pulmonary artery catheterization (PAC) in surgical patients, we investigated the interchangeability of cardiac index (CI) and systemic vascular resistance (SVR) measurement...

    Authors: Hye-Yeon Cho, Ho-Jin Lee, In Eob Hwang, Hyung-Chul Lee, Won Ho Kim and Seong-Mi Yang
    Citation: BMC Anesthesiology 2023 23:359
  7. This study investigated the effects of intraoperative goal-directed hemodynamic therapy (GDHT) on postoperative outcomes in patients undergoing open radical cystectomy.

    Authors: Hyun-Kyu Yoon, Min Hur, Dong Hyuk Kim, Ja Hyeon Ku and Jin-Tae Kim
    Citation: BMC Anesthesiology 2023 23:339
  8. We aimed to compare the hemodynamic effect of two ratios of propofol and ketamine (ketofol), namely 1:1 and 1:3 ratios, in rapid-sequence induction of anesthesia for emergency laparotomy.

    Authors: Mona Elsherbiny, Ahmed Hasanin, Sahar Kasem, Mohamed Abouzeid, Maha Mostafa, Ahmed Fouad and Yaser Abdelwahab
    Citation: BMC Anesthesiology 2023 23:329
  9. Predicting the onset of hemodynamic instability before it occurs remains a sought-after goal in acute and critical care medicine. Technologies that allow for this may assist clinicians in preventing episodes o...

    Authors: Bryce Benson, Ashwin Belle, Sooin Lee, Benjamin S. Bassin, Richard P. Medlin, Michael W. Sjoding and Kevin R. Ward
    Citation: BMC Anesthesiology 2023 23:324
  10. The reversible maneuver that mimics the fluid challenge is a widely used test for evaluating volume responsiveness. However, passive leg raising (PLR) does have certain limitations. The aim of the study is to ...

    Authors: Zhiyong Zhao, Zhongwei Zhang, Jing Liu, Zhili Xia, Qian Xing, Yaodong Zhang, Yijun Zheng, Lihua Shen, Qionghua Lin, Danyan Gu, Pengmei Wang, Shan Zhang, Fangfang Li and Biao Zhu
    Citation: BMC Anesthesiology 2023 23:318
  11. This randomized controlled trial was performed to observe the effect of remimazolam with sufentanil on hemodynamics during anesthetic induction in elderly patients with mild hypertension undergoing orthopedic ...

    Authors: Qiaomin Xu, Jimin Wu, Weifeng Shan, Gongchen Duan and Haiyan Lan
    Citation: BMC Anesthesiology 2023 23:311
  12. Hypotension frequently occurs after spinal anesthesia during cesarean delivery, and fluid loading is recommended for its prevention. We evaluated the efficacy of subclavian vein (SCV) ultrasound (US)-guided vo...

    Authors: Yan Lu, Yueqi Zhang, Zhendong Xu, Fuyi Shen, Jian Wang and Zhiqiang Liu
    Citation: BMC Anesthesiology 2023 23:288
  13. Recurrent laryngeal nerve (RLN) injury is one of the serious complications of thyroid tumour surgery, surgical treatment of thyroid cancer requires careful consideration of the RLN and its impact on glottis fu...

    Authors: Xi Liu, Xue Zhang, Xue Shang, Huihui Wang, Wenting Hou and Zhirong Sun
    Citation: BMC Anesthesiology 2023 23:286
  14. Ephedrine is a mixed α- and β-agonist vasopressor that is frequently used for the correction of hypotension during general anesthesia. β-responsiveness has been shown to decrease with age; therefore, this stud...

    Authors: Yuta Uemura, Michiko Kinoshita, Yoko Sakai and Katsuya Tanaka
    Citation: BMC Anesthesiology 2023 23:283
  15. The prognostic nutritional index (PNI) is a nutritional indicator and predictor of various diseases. However it is unclear whether PNI can be a predictor of perioperative ischemic stroke. This study aims to ev...

    Authors: Min Liu, Miao Sun, Ting Zhang, Peng Li, Jin Liu, Yanhong Liu, Yuxiang Song, Siyuan Liu, Huikai Yang, Zhikang Zhou, Dandan Chang, Guyan Wang, Weidong Mi and Yulong Ma
    Citation: BMC Anesthesiology 2023 23:268
  16. Laparoscopic hepatectomy under low central venous pressure (LCVP) is associated with intraoperative organ hypoperfusion, including cerebral hypoperfusion. We hypothesized that a ventilation strategy designed t...

    Authors: Huayan Lv, Chang Xiong, Bo Wu, Zhijian Lan, Duojia Xu, Dingnan Duan, Xiaoxia Huang, Jun Guo and Shian Yu
    Citation: BMC Anesthesiology 2023 23:257
  17. Analgesia Nociception Index (ANI) is a device based on analysis of the R-R interval and respiratory sinus arrhythmia to assess the balance between sympathetic and parasympathetic activity. The autonomic system...

    Authors: Hugues de Courson, Grégoire Chadefaux, Benjamin Abel, Delphine Georges, Eric Verchere and Matthieu Biais
    Citation: BMC Anesthesiology 2023 23:218
  18. Intraoperative autologous transfusion (IAT) has been used in scoliosis surgery for decades; however, its cost-effectiveness remains debatable. This study aimed to evaluate the cost-effectiveness of IAT in adol...

    Authors: Wen Chi, Zhenguo Luo, Zanqing Wu and Jianhong Hao
    Citation: BMC Anesthesiology 2023 23:211
  19. Perioperative evaluation of the left ventricular systolic function is essential information to help diagnose and manage life-threatening perioperative emergencies. Although quantifying the left ventricular eje...

    Authors: Kasana Raksamani, Apinya Noirit and Nophanan Chaikittisilpa
    Citation: BMC Anesthesiology 2023 23:106