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Defining goals of resuscitation in the critically Ill patient

par Joosten, Alexandre ;Alexander, Brenton;Cannesson, Maxime
Référence Critical care clinics, 31, 1, page (113-132)
Publication Publié, 2015-01

Article révisé par les pairs

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Résumé :

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.