作者: Alexandre Joosten , Brenton Alexander , Maxime Cannesson
DOI: 10.1016/J.CCC.2014.08.006
关键词: Critically ill 、 Central venous pressure 、 Stroke volume 、 Patient care 、 Goal directed therapy 、 Blood pressure 、 Medicine 、 Medical emergency 、 Resuscitation 、 Intensive care medicine 、 Urine output
摘要: There is still no "universal" consensus on an optimal endpoint for goal directed therapy (GDT) in the critically ill patient. As other areas of medicine, this should help providers to focus a more "individualized approach" rather than protocolized approach ensure proper patient care. Hemodynamic optimization needs simply blood pressure, heart rate, central venous pressure and urine output monitoring. It essential also monitor flow variables (cardiac output/stroke volume) dynamic parameters fluid responsiveness whenever available. This article will provide review current trending approaches goals resuscitation