Anesthesiology and Intensive Care

What other guideline statements are available on this topic? Several major organizations have produced practice guidelines on central venous access  128   –   132   Why was this Guideline developed? The ASA has created this new Practice Guideline to provide updated recommendations on some issues

PRACTICE advisories   are systematically developed reports that are intended to assist decision making in areas of patient care. Advisories provide a synthesis and analysis of expert opinion, clinical feasibility data, open forum commentary, and consensus surveys. Advisories are not intended as standards, guidelines, or absolute requirements. They may be adopted, modified, or rejected according to clinical needs and constraints.

What other guideline statements are available on this topic? These Practice Guidelines update the “Practice Guidelines for Acute Pain Management in the Perioperative Setting,” adopted by the ASA in 2003 and published in 2004.* Why was this guideline developed? In October 2010, the Committee on Standards and Practice Parameters elected to collect new evidence to determine whether recommendations in the existing Practice Guideline were supported by current evidence. How does this statement differ from existing guidelines? New evidence presented includes an updated evaluation of scientific literature and findings from surveys of experts and randomly selected ASA members. The new findings did not necessitate a change in recommendations. Why does this statement differ from existing guidelines? The ASA guidelines differ from the existing guidelines because they provide new evidence obtained from recent scientific literature as well as findings from new surveys

 Proper management of patients in the post bypass period involves continuous assessment of five hemodynamic variables as summarized in Figure. These are preload, rate, rhythm, contractility, and afterload.