Cardiothoracic & vascular anesthesia
Hemodynamic monitoring strategies in cardiac surgery: an update systematic review
Authors' conclusion
Current evidence supports the physiological rationale for GDT guided by advanced hemodynamic monitoring in cardiac surgery.
Study context
- Population
- Adults undergoing cardiac surgery
- Participants
- 4,224 adults · 15 studies
- Comparison
- Hemodynamic monitoring strategies with cardiac output assessment integrated into goal-directed therapy (GDT) protocols
Methodological detailsqualitative synthesis, Retrospectively registered on 11 July 2025, Studies published January 2015–May 2025; PubMed, Embase, Scopus, Cochrane Library; last search 17 May 2025
- Qualitative synthesis
- Retrospectively registered on 11 July 2025
- Studies published January 2015–May 2025; PubMed, Embase, Scopus, Cochrane Library; last search 17 May 2025
Pooled result
As reported in the abstract
- Monitoring ranged from pulmonary artery catheters to minimally invasive and noninvasive tools (FloTrac/EV1000, esophageal Doppler)
- Cardiac index and stroke volume variation most frequently targeted, often with MAP or central venous oxygen saturation
- GDT protocols associated with reductions in AKI, duration of mechanical ventilation and ICU/hospital stay
- Mortality benefits inconsistently reported and not predefined in most studies
Original publication
Hemodynamic monitoring strategies in cardiac surgery: an update systematic review. J Clin Monit Comput. Published 31 January 2026. doi:10.
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