• Emerg Med Australas · Feb 2012

    Review

    Review article: Part one: Goal-directed resuscitation--which goals? Haemodynamic targets.

    • Anthony Holley, William Lukin, Jennifer Paratz, Tracey Hawkins, Robert Boots, and Jeffrey Lipman.
    • Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. anthony_holley@health.qld.gov.au
    • Emerg Med Australas. 2012 Feb 1;24(1):14-22.

    AbstractThe use of appropriate resuscitation targets or end-points may facilitate early detection and appropriate management of shock. There is a fine balance between oxygen delivery and consumption, and when this is perturbed, an oxygen debt is generated. In this narrative review, we explore the value of global haemodynamic resuscitation end-points, including pulse rate, blood pressure, central venous pressure and mixed/central venous oxygen saturations. The evidence supporting the reliability of these parameters as end-points for guiding resuscitation and their potential limitations are evaluated.© 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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