Defining Goals of Resuscitation in the Critically Ill Patient

作者: Alexandre Joosten , Brenton Alexander , Maxime Cannesson

DOI: 10.1016/J.CCC.2014.08.006

关键词: Critically illCentral venous pressureStroke volumePatient careGoal directed therapyBlood pressureMedicineMedical emergencyResuscitationIntensive care medicineUrine 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

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