Acute kidney injury (AKI) is prevalent among post-operative cardiac patients, prolonging length of stay and elevating hospital costs. The use of goal-directed therapy is showing evidence of reduced AKI, post-operative complications and LOS following cardiac surgery.
Patients undergoing open abdominal aortic aneurism repairs would be categorized as high-risk and require close fluid and drug management. When the aortic clamp is on, it is imperative to not over fill the patient.
Orthopaedic procedures are often performed on elderly patients. The effects of anaesthesia can have a profound effect on blood pressure and cardiac output.
Observing why the blood pressure has changed with anaesthesia can lead to better decisions with fluids and drugs.