Goal-Directed Resuscitation in Septic Shock: A Critical Analysis

被引:4
作者
Henning, Daniel J. [1 ]
Shapiro, Nathan I. [2 ]
机构
[1] Univ Washington, Sch Med, Div Emergency Med, Harborview Med Ctr, 325 9th Ave,Box 359702, Seattle, WA 98104 USA
[2] Harvard Univ, Dept Emergency Med, Beth Israel Deaconess Med Ctr, Sch Med, One Deaconess Rd,W-CC2, Boston, MA 02215 USA
关键词
Severe sepsis; Septic shock; Goal-directed therapy; Resuscitation; PREDICT FLUID RESPONSIVENESS; CENTRAL VENOUS-PRESSURE; VENA-CAVA DIAMETER; SURVIVING SEPSIS CAMPAIGN; LACTATE CLEARANCE; MICROVASCULAR PERFUSION; OXYGEN-SATURATION; VASOACTIVE AGENTS; BLOOD-PRESSURE; ILL PATIENTS;
D O I
10.1016/j.ccm.2016.01.016
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The Early Goal-Directed Therapy versus Standard Care for Sepsis trial by Rivers and colleagues in 2001 suggested that a significant mortality reduction may be realized through goal-directed interventions early in the care of patients with septic shock. However, the recent publication of the Protocol-Based Care for Early Septic Shock (ProCESS), Australasian Resuscitation in Sepsis Evaluation (ARISE), and Protocolised Management in Sepsis (ProMISE) trials did not demonstrate the superiority of early goal-directed therapy over usual care. If usual care includes timely and meticulous care, a protocol may not be needed to realize the continued lowering mortality rates.
引用
收藏
页码:231 / +
页数:10
相关论文
共 50 条
[21]   DOES EARLY GOAL-DIRECTED THERAPY DECREASE MORTALITY COMPARED WITH STANDARD CARE IN PATIENTS WITH SEPTIC SHOCK? [J].
Winters, Michael E. ;
Sherwin, Robert ;
Vilke, Gary M. ;
Wardi, Gabriel .
JOURNAL OF EMERGENCY MEDICINE, 2017, 52 (03) :379-384
[22]   The demise of early goal-directed therapy for severe sepsis and septic shock [J].
Marik, P. E. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2015, 59 (05) :561-567
[23]   Towards a less invasive approach to the early goal-directed treatment of septic shock in the ED [J].
Coen, Daniele ;
Cortellaro, Francesca ;
Pasini, Simone ;
Tombini, Valeria ;
Vaccaro, Angelica ;
Montalbetti, Lorenzo ;
Cazzaniga, Michela ;
Boghi, Daniele .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2014, 32 (06) :563-568
[24]   Hepatic Perfusion Alterations in Septic Shock Patients: Impact of Early Goal-directed Therapy [J].
Zhang, Xi-Wen ;
Xie, Jian-Feng ;
Liu, Ai-Ran ;
Huang, Ying-Zi ;
Guo, Feng-Mei ;
Yang, Cong-Shan ;
Yang, Yi ;
Qiu, Hai-Bo .
CHINESE MEDICAL JOURNAL, 2016, 129 (14) :1666-1673
[25]   Early goal-directed treatment versus standard care in management of early septic shock: Meta-analysis of randomized trials [J].
Coccolini, Federico ;
Sartelli, Massimo ;
Catena, Fausto ;
Ceresoli, Marco ;
Montori, Giulia ;
Ansaloni, Luca .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2016, 81 (05) :971-978
[26]   Goal-Directed Therapy in Small Animal Critical Illness [J].
Butler, Amy L. .
VETERINARY CLINICS OF NORTH AMERICA-SMALL ANIMAL PRACTICE, 2011, 41 (04) :817-+
[27]   The effect of early goal-directed therapy on mortality in patients with severe sepsis and septic shock: a meta-analysis [J].
Lu, Jun ;
Wang, Xing ;
Chen, Qiuhua ;
Chen, Mingqi ;
Cheng, Lu ;
Dai, Linfeng ;
Jiang, Hua ;
Sun, Zhiguang .
JOURNAL OF SURGICAL RESEARCH, 2016, 202 (02) :389-397
[28]   Septic shock resuscitation in the first hour [J].
Simpson, Nicholas ;
Lamontagne, Francois ;
Shankar-Hari, Manu .
CURRENT OPINION IN CRITICAL CARE, 2017, 23 (06) :561-566
[29]   Early, Goal-Directed Therapy for Septic Shock - A Patient-Level Meta-Analysis [J].
Rowan, Kathryn M. ;
Angus, Derek C. ;
Bailey, Michael ;
Barnato, Amber E. ;
Bellomo, Rinaldo ;
Canter, Ruth R. ;
Coats, Timothy J. ;
Delaney, Anthony ;
Gimbel, Elizabeth ;
Grieve, Richard D. ;
Harrison, David A. ;
Higgins, Alisa M. ;
Howe, Belinda ;
Huang, David T. ;
Kellum, John A. ;
Mouncey, Paul R. ;
Music, Edvin ;
Peake, Sandra L. ;
Pike, Francis ;
Reade, Michael C. ;
Sadique, M. Zia ;
Singer, Mervyn ;
Yealy, Donald M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 376 (23) :2223-2234
[30]   SEPTIC SHOCK - A GOAL-DIRECTED THERAPY USING VOLUME LOADING, DOBUTAMINE AND OR NOREPINEPHRINE [J].
MARTIN, C ;
SAUX, P ;
EON, B ;
AKNIN, P ;
GOUIN, F .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1990, 34 (05) :413-417