Gerard R. Manecke MD Archives

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Goal-Directed Fluid Therapy, Perioperative Pain Management, and Enhanced Recovery

Key Points 1. The costs of healthcare are escalating. Goal-directed fluid therapy (GDT) and multimodal pain relief are ways to control cost while improving quality. 2. GDT is an integral part of enhanced recovery programs (ERPs), as is multimodal pain…

Cardiovascular Monitoring in Noncardiac Surgery

Key Points 1. Excellent cardiac and hemodynamic management is essential to achieving good outcomes in patients with cardiovascular disease, particularly those undergoing high-risk noncardiac surgery. 2. Much cardiovascular information can be obtained from the standard American Society of Anesthesiologists monitors,…