Small animals;
Critical illness;
Early Goal-Directed Therapy;
Monitoring;
VENOUS OXYGEN-SATURATION;
ACUTE-RENAL-FAILURE;
PLASMA LACTATE CONCENTRATION;
END-DIASTOLIC VOLUME;
ACUTE KIDNEY INJURY;
LOW-DOSE DOPAMINE;
SEVERE SEPSIS;
SEPTIC SHOCK;
BLOOD-PRESSURE;
ANTIDIURETIC-HORMONE;
D O I:
10.1016/j.cvsm.2011.05.002
中图分类号:
S85 [动物医学(兽医学)];
学科分类号:
0906 ;
摘要:
Monitoring critically ill patients can be a daunting task even for experienced clinicians. Goal-directed therapy is a technique involving intensive monitoring and aggressive management of hemodynamics in patients with high risk of morbidity and mortality. The aim of goal-directed therapy is to ensure adequate tissue oxygenation and survival. This article reviews commonly used diagnostics in critical care medicine and what the information gathered signifies and discusses clinical decision making on the basis of diagnostic test results. One example is early goal-directed therapy for severe sepsis and septic shock. The components and application of goals in early goal-directed therapy are discussed.
机构:
Univ Washington, Sch Med, Div Emergency Med, Harborview Med Ctr, 325 9th Ave,Box 359702, Seattle, WA 98104 USAUniv Washington, Sch Med, Div Emergency Med, Harborview Med Ctr, 325 9th Ave,Box 359702, Seattle, WA 98104 USA
Henning, Daniel J.
Shapiro, Nathan I.
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机构:
Harvard Univ, Dept Emergency Med, Beth Israel Deaconess Med Ctr, Sch Med, One Deaconess Rd,W-CC2, Boston, MA 02215 USAUniv Washington, Sch Med, Div Emergency Med, Harborview Med Ctr, 325 9th Ave,Box 359702, Seattle, WA 98104 USA
机构:
Cook Cty Stroger Hosp, Dept Emergency Med, 1900 W Polk St,10th Floor, Chicago, IL 60612 USACook Cty Stroger Hosp, Dept Emergency Med, 1900 W Polk St,10th Floor, Chicago, IL 60612 USA
机构:
Univ Penn, Dept Clin Studies, Matthew J Ryan Vet Hosp, Philadelphia, PA 19104 USAUniv Penn, Dept Clin Studies, Matthew J Ryan Vet Hosp, Philadelphia, PA 19104 USA
机构:
Yonsei Univ Hlth Syst, Dept Anesthesiol, Severance Hosp, Seoul, South KoreaLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Na, Sungwon
Sen Kuan, Win
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机构:
Natl Univ Hlth Syst, Dept Emergency Med, Singapore, SingaporeLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Sen Kuan, Win
Mahadevan, Malcolm
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机构:
Natl Univ Hlth Syst, Dept Emergency Med, Singapore, SingaporeLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Mahadevan, Malcolm
Li, Chih-Huang
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机构:
Chang Gung Mem Hosp, Dept Emergency Med, Keelung, TaiwanLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Li, Chih-Huang
Shrikhande, Pinak
论文数: 0引用数: 0
h-index: 0
机构:
Fortis Healthcare, Dept Crit Care Med, New Delhi, IndiaLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Shrikhande, Pinak
Ray, Sumit
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h-index: 0
机构:
Sir Gangaram Hosp, Dept Crit Care Med, New Delhi, IndiaLoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Ray, Sumit
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Batech, Michael
Nguyen, H. Bryant
论文数: 0引用数: 0
h-index: 0
机构:
Loma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
Loma Linda Univ, Dept Pulm & Crit Care Med, Loma Linda, CA 92354 USALoma Linda Univ, Dept Emergency Med, Loma Linda, CA 92354 USA
机构:
Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USA
Marcus, Sivan G.
Syed, Shareef
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机构:
Univ Calif San Francisco, Div Transplant Surg, San Francisco, CA USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USA
Syed, Shareef
Anderson, Alexandra L.
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h-index: 0
机构:
Mayo Clin, Dept Anesthesiol & Perioperat Med, Rochester, MN USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USA
Anderson, Alexandra L.
Bokoch, Michael P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, POB 0648,521 Parnassus Ave,Floor 04, San Francisco, CA 94143 USA