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Review
. 2015 Jan;31(1):113-32.
doi: 10.1016/j.ccc.2014.08.006.

Defining goals of resuscitation in the critically ill patient

Alexandre Joosten  1 , Brenton Alexander  2 , Maxime Cannesson  3
Affiliations
Review

Defining goals of resuscitation in the critically ill patient

Alexandre Joosten et al. Crit Care Clin. 2015 Jan.

Abstract

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.

Keywords: Cardiac output optimization; Goal-directed fluid therapy; Oxygen consumption; Oxygen delivery.

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