[Intraoperative correction of low cardiac output back to its physiological values improves the postoperative progress in patients undergoing extensive intraabdominal surgical procedures]. / Intraoperacní úprava nízkého srdecního výdeje do fyziologického pásma zlepsuje pooperacní vývoj u pacientu podrobujících se rozsáhlým nitrobrisním chirurgickým výkonum.

ABSTRACT

Perioperative optimalization of haemodynamics is associated with improved post-operative development, as presented in most published studies. This study has confirmed that intra-operative correction of cardiac output back to it's physiological level is associated with improved post-operative course in the group of patients undergoing major elective intraabdominal surgery. Statistically significant decreasing of post-operative complications (4.7% vs 17.7%), decreased length of stay (LOS) in the ICU by 33% and decreased LOS in the hospital by 24% was recorded. Interpretation of the study could be limited by using non-indexed cardiac output values and higher female presentation in the group of patients (although statistically not significant).