Clinical review: Goal-directed therapy in high risk surgical patients
作者： Nicholas Lees , Mark Hamilton , Andrew Rhodes
DOI: 10.1186/CC8039
关键词:
摘要: A small group of patients account for the majority peri-operative morbidity and mortality. These 'high-risk' have a poor outcome due to their inability meet oxygen transport demands imposed on them by nature surgical response during period. It has been shown that targeting specific haemodynamic goals at any point period, outcomes these can be improved. This goal directed therapy includes use fluid loading inotropes, in order optimize preload, contractility afterload heart whilst maintaining an adequate coronary perfusion pressure. Despite benefits seen, it remains challenge implement this management difficulties identifying patients, scepticism lack critical care resources.
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