Perioperative goal directed therapy—current view

Jan Zatloukal, Jiri Pouska, Jan Beneš


High-risk surgery is frequently associated with increased number of complications and higher mortality. Cardiovascular reserves of patients undergoing such procedures are frequently low, limiting their ability to sustain adequate organ perfusion. This puts the organs into the risk of hypoperfusion with loss of function and even failure. Perioperative goal directed therapy is can improve postoperative outcome of intermediate-to-high-risk surgical patients. Based on current evidence it seems to be associated with decreased postoperative length of stay, number of complications and possibly even mortality. In following narrative review, we discuss the contribution of perioperative goal directed therapy as well as its limits and possible future perspectives.