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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2012
Review[Fluid management: goal-directed therapy].
- Matthias Grünewald, Ole Broch, and Berthold Bein.
- Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel. Seine Schwerpunkte sind: Anästhesiologisches Monitoring, Post-Reanimationstherapie, klinische Studien. matthias.gruenewald@uksh.de
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Jul 1;47(7-8):490-7; quiz 498.
AbstractGoal-directed fluid therapy (GDT) is one important step in perioperative therapy as it improves complication rate and mortality by optimisation of oxygen delivery. There is a convincing evidence for GDT when used early, before organ failure occurs, and in high-risk patients. Moderne algorithms use goals derived from advanced haemodynamic monitoring and are based on the concept of fluid responsiveness and optimisation of global perfusion. Future investigations will have to prove the advantage of using the new less or non-invasive haemodynamic monitoring devices or automatic closed-loop fluid administration systems for GDT.© Georg Thieme Verlag Stuttgart · New York.
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