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Defining Goals of Resuscitation in the Critically Ill Patient
- Source :
- Critical Care Clinics. 31:113-132
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- There is still no "universal" consensus on an optimal endpoint for goal directed therapy (GDT) in the critically ill patient. As in other areas of medicine, this should help providers to focus on a more "individualized approach" rather than a protocolized approach to ensure proper patient care. Hemodynamic optimization needs more than simply blood pressure, heart rate, central venous pressure and urine output monitoring. It is essential to also monitor flow variables (cardiac output/stroke volume) and dynamic parameters of fluid responsiveness whenever available. This article will provide a review of current and trending approaches of the goals of resuscitation in the critically ill patient.
- Subjects :
- Resuscitation
medicine.medical_specialty
Critically ill
business.industry
Critical Illness
Fluid responsiveness
Hemodynamics
Central venous pressure
General Medicine
Goal directed therapy
Stroke volume
Critical Care and Intensive Care Medicine
medicine.disease
Blood pressure
Predictive Value of Tests
Patient-Centered Care
medicine
Humans
Medical emergency
Intensive care medicine
business
Goals
Urine output
Monitoring, Physiologic
Resuscitation Orders
Subjects
Details
- ISSN :
- 07490704
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Critical Care Clinics
- Accession number :
- edsair.doi.dedup.....387ddd36dfddbbf8d99cfbf2b0ce72e0
- Full Text :
- https://doi.org/10.1016/j.ccc.2014.08.006