References 1. Mello MT, Azocar RJ, Lewis MC. Geriatrics and the Perioperative Surgical Home. Anesthesiol Clin. 2015;33(3):439-45. 2. King AB, Alvis BD, McEvoy MD, Enhanced recovery after surgery, perioperative medicine, and the perioperative surgical home: current state and future implications for education and training. Curr Opin Anaesthesiol. 2016;29(6):727-32. 3. Kash BA, Zhang Y, Cline KM et al. The preioperative surgical home (PSH): a comprehensive review of US and non-US studies shows predominately positive quality and dost outcomes. Milbank Q. 2014;92(4):796-821. 4. Li Y. Strategy and prospective of enhanced recovery after surgery for esophageal cancer. Chinese Journal of Gastrointestinal Surgery. 2016;19(9):965-70. 5. Galli E, Fagnani C, Laurora I et al. Enhanced Recovery After Surgery (ERAS) multimodal programme as experienced by pancreatic surgery patients: Findings from an Italian qualitative study. Int J Surg. 2015;23:152-9. 6. Archer S, Montague J, Bali A. Exploring the experience of an enhanced recovery programme for gynaecological cancer patients: a qualitative study. Perioper Med. 2014;3(1):2. You can reduce post-surgical complications by 32% 1 in your moderate to high-risk patients. A large body of evidence demonstrates that hemodynamic optimization through Perioperative Goal-Directed Therapy (PGDT), utilizing dynamic parameters which are informative in determining fluid responsiveness, has been shown to reduce post-surgical complications.1–4 30+ 14+ randomized controlled trials and meta-analyses confirmed reduction of risk for AKI, anastomotic leaks, pneumonia, SSI and UTI.1–4 When evidence inspires action, Edwards Enhanced Surgical Recovery program is here to help you implement PGDT. Edwards.com/ASER2017 References: 1. Grocott et al. Perioperative increase in global blood flow to explicit defined goals and outcomes after surgery: a Cochrane systematic review. Br J Anaesth 2013 2. Giglio MT, Marucci M, Testini M, Brienza N. Goal-directed haemodynamic therapy and gastrointestinal complications in major surgery: a meta-analysis of randomized controlled trials. Br J Anaesth 2009; 103: 637–46 3. Dalfino L, Giglio MT, Puntillo F, Marucci M, Brienza N. Haemodynamic goal-directed therapy and postoperative infections: earlier is better. A systematic review and meta-analysis. Crit Care 2011; 15: R154 4. Corcoran T et al. Perioperative Fluid Management Strategies in Major Surgery: A Stratified Meta-Analysis. Anesthesia – Analgesia 2012 Edwards, Edwards Lifesciences, the stylized E logo, and Enhanced Surgical Recovery are trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners. © 2017 Edwards Lifesciences Corporation. All rights reserved. AR11710 Edwards Lifesciences • edwards.com One Edwards Way, Irvine CA 92614 USA ASER ALERT • VOLUME 2, ISSUE 1 • aserhq.org 9
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