Hemodynamics, fluids & transfusion

Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy

Br J AnaesthPublished Consensus statement

Recommendations

As issued by the authors

  1. weak level of evidence

    Consider goal-directed haemodynamic therapy (GDHT) during cardiopulmonary bypass (CPB), after cardiac surgery and during hip fracture surgery

  2. Clinicians can consider GDHT protocols on an individual patient basis for moderate- to high-risk patients undergoing major noncardiac surgery

  3. Recommend against fixed low-dose inotrope infusions as part of GDHT protocols

  4. Routine GDHT not recommended for major elective abdominal surgery

  5. Insufficient evidence to recommend routine GDHT during emergency abdominal surgery

Original publication

Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy. Br J Anaesth. Published 10 July 2025. doi:10.1016/j.bja.2025.05.033

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