• Critical care clinics · Oct 2020

    Review

    Goal-Directed Therapy for Cardiac Surgery.

    • Kevin W Lobdell, Subhasis Chatterjee, and Michael Sander.
    • Atrium Health Cardiothoracic Surgery, Atrium Health's Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, USA. Electronic address: kevin.lobdell@atriumhealth.org.
    • Crit Care Clin. 2020 Oct 1; 36 (4): 653-662.

    AbstractGoal-directed therapy couples therapeutic interventions with physiologic and metabolic targets to mitigate a patient's modifiable risks for death and complications. Goal-directed therapy attempts to improve quality-of-care metrics, including length of stay, rate of readmission, and cost per case. Debate persists around specific parameters and goals, the risk profiles that may benefit, and associated therapeutic strategies. Goal-directed therapy has demonstrated reduced complication rates and lengths of stay in noncardiac surgery studies. Establishing goal-directed therapy's early promise and role in cardiac surgery-namely, producing fewer complications and deaths-will require larger studies, including those with greater focus on high-risk patients.Copyright © 2020 Elsevier Inc. All rights reserved.

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