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Table 1 Characteristics of included studies

From: Perioperative goal-directed therapy and postoperative complications in different kind of surgical procedures: an updated meta-analysis

Author, year, country

Surgery

Goal-directed therapy

(tools and goals)

Modality of optimization

Ackland et al. [19]

2015, Europe

Major elective abdominal surgery

Lidco plus;

SV < 10%, DO2 > 600 L∙min−1∙m−2

Fluids and inotropes

Arslan-Carlon et al. [20]

2020, USA

Open radical cystecctomy

FloTrac/Vigileo;

SV < 10%

CI ≥ 2.5 L min−1 m−2

Fluids

Bahlmann et al. [21]

2019, Europe

Tranthoracic eophageal resection

FloTrac/Vigileo;

SV < 10%

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Bartha et al. [22]

2018, Europe

Orthopaedic

Lidco;

SV < 10%, DO2 > 600 L min−1 m−2

Fluids and inotropes

Bender et al. [23]

1997, USA

Elective aortic and vascular

PAC;

CI ≥ 2.8 L min−1 m−2,

8 ≤ Pcwp ≤ 14 mmHg,

SVR ≤ 1100 dyne s cm−5

Fluids and inotropes

Benes et al. [24]

2010, Europe

Elective abdominal

FloTrac/Vigileo;

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Bisgaard et al. [25]

2013, Europe

Elective peripheral vascular

Lidco;

SV < 10%, DO2 > 600 L min−1 m−2

Fluids and inotropes

Brandstrup et al. [26]

2012, Europe

Elective abdominal

Esophageal Doppler

SV increase > 10%

Fluids

Broch et al. [27]

2016, Europe

Major abdominal

Nexfin system;

PPV > 10%

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Calvo Vecino et al. [5]

2018, Spain

Major abdominal, urological, gynaecological, or orthopedic

surgery

(CardioQ, EDM;

SV increase > 10%

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Cecconi et al. [28]

2011, Europe

Orthopaedic

FloTrac/Vigileo;

SV < 10%, DO2 > 600 L min−1 m−2

Fluids and inotropes

Challand et al. [29]

2013, Europe

Major abdominal

Esophageal Doppler

SV increase of 10%

Fluids

Colantonio et al. [30]

2015, Europe

Cytoreductive surgery

FloTrac/Vigileo;

CI ≥ 2.5 L min−1 m−2

SVI > 35 ml∙min−1∙m−2

Fluids and inotropes

Correa-Gallego et al. [31]

2015, Europe

Elective liver resection

FloTrac/Vigileo;

SVV < 2 DS of pre-induction

Fluids

Elgendy et al. [32]

2017, Africa

Major abdominal

FloTrac/Vigileo;

SVV < 12%,

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Forget et al. [33]

2011, Europe

Major abdominal

Masimo set pulse oxymeter;

PVI < 13%

Fluids

Gomez-Izquierdo et al. [34]

2017, Canada

Colorectal surgery

Cardio Q

rise of SV > 10%

Fluids

Jammer et al. [35]

2010, Europe

Colo-rectal surgery

CVC

ScVO2 > 75%

Fluids

Jhanii et al. [36]

2010, Europe

Elective gastro-intestinal

Not stated

rise of SV > 10%

Fluids and inotropes

Joosten et al. [37]

2019, Europe

Major abdomina

Clearsight closed loop;

SVV > 13%,

CI 2.5 3 L min−1 m−2

Fluids

Kaufmann et al. [38]

2018, Europe

Orthopaedic

Esophageal Doppler

rise of SV > 10%

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Kumar et al. [39]

2016, India

Elective abdominal

FloTrac/Vigileo;

SVV < 10%,

Fluids and inotropes

Lobo et al. [40]

2000, Brazil

Elective major abdominal or vascular

PAC;

DO2 > 600 mL min−1 m−2

Fluids and inotropes

Lopes et al. [41]

2007, Brazil

Elective abdominal

Radial artery line;

ΔPP ≤ 10%

Fluids

Luo et al. [42]

2017, China

Neurosurgery

FloTrac/Vigileo;

SVV < 15%,

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Mayer et al. [43]

2010, Europe

Major abdominal

FloTrac/Vigileo;

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Mikor et al. [44]

2015, Europe

Major abdominal

Cevox

ScVO2 > 75% or reduction 3%

Fluids and inotropes

Moppett et al. [45]

2014, Europe

Emergent orthopaedic

LiDCO;

SV increase < 10%

Fluids

Mukai et al. [46]

2020, Japan

Tranthoracic eophageal resection

FloTrac/Vigileo;

SVV < 12%,

Fluids and inotropes

Noblett et al. [47]

2005, Europe

Major abdominal

Esophageal Doppler;

SV optimization

Fluids

Pearse et al. [48]

2005, Europe

Elective or emergent major general

LiDCO;

DO2 > 600 mL min−1 m−2, SV > 10%

Fluids and inotropes

Pearse et al. [49]

2014, Europe

Major general

LiDCO;

SV increase < 10%

Fluids and inotropes

Pestana et al. [50]

2014, multicentric

Major abdominal

NICOM;

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

Pillai et al. [51]

2011 USA

Radical cystectomy

Cardio Q

increase of SV > 10%

Fluids

Salzwedel et al. [52]

2013, Europe

Major abdominal

ProAQT

PPV > 10%

CI ≥ 2.5 L/min/m2

Fluids and inotropes

Schereen et al. [53]

2013, Europe

Major abdominal and urologic

FloTrac/Vigileo;

SVV < 10%

Fluids

Schmid et al. [54]

2019, Europe

Orthopaedic

PulsioFlex

SVI increase < 10%

CI ≥ 2.5 L/min/m2

Fluids and inotropes

Shoemaker et al. [55]

1998, USA

Emergent or elective major abdominal

(general or vascular)

PAC;

CI > 4.5 L min−1 m−2,

DO2 > 600 mL min−1 m2,

VO2 > 170 mL min−1 m−2

Fluids and inotropes

Sinclair et al. [56]

1997, Europe

Orthopaedic

Esophageal Doppler

SV optimization with FTc between 0.35–0.4 s

Fluids

Srinvasa et al. [57]

2012, Australia

Elective colectomy

Esophageal Doppler

SV optimization with FTc between 0.35–0.4 s

Fluids

Stens et al. [58]

2017, Europe

Major abdominal

Nexfin device

PPV < 12%

CI > 2.5 L min−1 m−2

Fluids and inotropes

Szturz et al. [59]

2019, Europe

Major abdominal

Esophageal Doppler

FTc < 330 ms

CI > 2.5 L min−1 m−2

Fluids and inotropes

Ueno et al. [60]

1998, China

Hepatic resection

PAC;

CI > 4.5 L min−1 m−2,

DO2 > 600 mL min−1 m2,

VO2 > 170 mL min−1 m−2

Fluids and inotropes

Van Beest [61]

2014, Europe

Elective major

In spectra system

StO2 > 80%

Fluids and inotropes

Venn et al. [62]

2002, Europe

Orthopaedic

Esophageal Doppler

SV optimization with FTc > 0.4 s

Fluids

Wakeling et al. [63]

2005, Europe

Elective major bowel

Esophageal Doppler;

SV optimization and rise in CVP < 3 mmHg

Fluids

Weineberg et al. [64]

2017, Australia

Pancreaticoduodenectomy

FloTrac/Vigileo;

SVV < 20% baseline

CI ≥ 2 L min−1 m−2

Fluids and inotropes

Weineberg et al. [65]

2019, Australia

Liver resection

FloTrac/Vigileo;

SVV< 20% baseline

CI ≥ 2.2 L min−1 m−2

Fluids and inotropes

Wilson et al. [66]

1999, Europe

Elective major (abdominal, vascular, urologic)

PAC;

DO2 > 600 mL min−1 m−2

Fluids and inotropes

Wu et al. [67]

2017, China

Neurosurgery

FloTrac/Vigileo;

SVV < 12%,

CI > 2.5 L min−1 m−2

Fluids and inotropes

Zhang et al. [68]

2013, China

Thorascopic lobectomy

FloTrac/Vigileo;

SVV < 10%,

CI > 2.5 L min−1 m−2

Fluids and inotropes

Zheng et al. [69]

2013, China

Elective abdominal

FloTrac/Vigileo;

SVI > 35 mL/m2,

CI ≥ 2.5 L min−1 m−2

Fluids and inotropes

  1. Abbreviations: PPV pulse pressure variation, PVI Pleth Variability Index, SVV stroke volume variation, SV stroke volume, CI cardiac index, CVP central venous pressure, SVI stroke volume index, SVR systemic vascular resistance, ScvO2 central venous oxygen saturation, DO2 oxygen delivery, Pcwp pulmonary capillary wedge pressure, PAC pulmonary artery catheter, FTc flow-time-corrected, VO2 oxygen consumption, LiDCO lithium dilution cardiac output monitoring, NICOM non-invasive cardiac output monitoring obtained via bioreactance, CVC central venois catheter, StO2 tissue oxygenation, DS standard deviation, ΔPP variation of arterial pressure