Oxygen-Flow-Pressure Targets for Resuscitation in Critical Hemodynamic Therapy.
作者： Huaiwu He , Yun Long , Xiang Zhou , Xiaoting Wang , Hongmin Zhang
DOI: 10.1097/SHK.0000000000000929
关键词:
摘要: Far from traditional "vital signs," the field of hemodynamic monitoring (HM) is rapidly developing. However, it also easy to misunderstand therapy as merely HM and some concrete bundles or guidelines for circulation support. Here, we describe concept "critical therapy" clarify concepts "therapeutic target" endpoint" in clinical practice. Three main targets (oxygen delivery, blood flow, perfusion pressure) resuscitation are reviewed critically ill patients according sepsis consensus. ScvO2 at least 70% has not been recommended a directed target initial resuscitation, mean arterial pressure (MAP) still 65 mmHg. Moreover, individual MAP underlined, using flow-dependent guide fluid infusion recommended. The flow-directed might be priority, but remains controversial resuscitation. interpretation these necessary adequate correction tissue hypoxia. incoherence phenomenon (macrocirculation microcirculation, perfusion, cellular oxygen utilization) gaining increased attention, early identification incoherences helpful reduce risk over-resuscitation.
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