HEMODYNAMICS MONITORING

HEMODYNAMICS MONITORINGdr Ahmad Irfan SpAnKIC

HIGH RISK SURGERY

High risk" surgical patientsAge > 60Major elective cancer surgery (>2 hr surgery)Elective abdominal aortic aneurysm repairCongestive cardiac failureIschaemic heart diseaseCardiac arrhythmiaHypertensionCOPDPulmonary embolusChronic renal insufficiencyDiabetes mellitus with end-organ damageLong term steroid therapyChronic liver diseaseCerebrovascular diseasePeripheral vascular disease

C H O I C E S ??? WHY WE NEED IT ???

conclusion INDICATION : CRITICAL ILL PATIENT & HIGH RISK SURGERY

TARGET : OXYGEN DELIVERY

CHOICES : AVAILABILITY, COST, EXPERIENCE, LESS INVASIVE, ACCURACY, TAILOR MADE, PATIENT CONDITION ETCTerima kasih