Goal-directed haemodynamic therapy: an imprecise umbrella term to avoid

被引：7
作者：
Saugel, Bernd [1 ,2 ]
Thomsen, Kristen K. [1 ]
Maheshwari, Kamal [3 ,4 ]
机构：
[1] Univ Med Ctr Hamburg Eppendorf, Ctr Anesthesiol & Intens Care Med, Dept Anesthesiol, Hamburg, Germany
[2] Outcomes Res Consortium, Cleveland, OH 44195 USA
[3] Cleveland Clin, Anesthesiol Inst, Dept Outcomes Res, Cleveland, OH USA
[4] Cleveland Clin, Anesthesiol Inst, Dept Gen Anesthesiol, Cleveland, OH USA
来源：
BRITISH JOURNAL OF ANAESTHESIA | 2023年 / 130卷 / 04期
关键词：
arterial pressure; blood pressure; cardiac index; cardiac output; goal-directed therapy; haemodynamic monitoring; pulse pressure variation; stroke volume; MAJOR ABDOMINAL-SURGERY; RISK SURGICAL-PATIENTS; OUTCOMES; TRIAL; METAANALYSIS; COMPLICATIONS; OPTIMIZATION; MANAGEMENT;
D O I：
10.1016/j.bja.2022.12.022
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
' Goal-directed haemodynamic therapy ' describes various haemodynamic treatment strategies that have in common that interventions are titrated to achieve predefined haemodynamic targets. However, the treatment strategies differ substantially regarding the underlying haemodynamic target variables and target values, and thus presumably have different effects on outcome. It is an over-simplifying approach to lump complex and substantially differing haemodynamic treatment strategies together under the term ' goal-directed haemodynamic therapy ', an imprecise umbrella term that we should thus stop using.
引用
收藏
页码：390 / 393
页数：4
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