• Critical care clinics · Jan 2015

    Review

    Defining Goals of Resuscitation in the Critically Ill Patient.

    • Alexandre Joosten, Brenton Alexander, and Maxime Cannesson.
    • Department of Anesthesiology and Perioperative Care, University of California, Irvine, 101 The City Drive South, Orange, CA 92868, USA; Department of Anesthesiology and Critical Care, Erasme University Hospital, Free University of Brussels, 808 Lennick Road, Brussels 1070, Belgium.
    • Crit Care Clin. 2015 Jan 1;31(1):113-32.

    AbstractThere 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.Copyright © 2015 Elsevier Inc. All rights reserved.

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