Goal-Directed Therapy in Small Animal Critical Illness

被引:20
|
作者
Butler, Amy L. [1 ]
机构
[1] Vet Referral & Emergency Ctr, Clarks Summit, PA 18411 USA
关键词
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.
引用
收藏
页码:817 / +
页数:23
相关论文
共 50 条
  • [31] Goal-directed therapy in sepsis strikes back
    Stefano Skurzak
    Mauro Gallo
    Bruna Lavezzo
    Sara Iannandrea
    Roberto Balagna
    Intensive Care Medicine, 2022, 48 : 502 - 503
  • [32] Hemodynamic goal-directed therapy. A review
    Romagnoli, S.
    Romano, S. M.
    Bevilacqua, S.
    Lazzeri, C.
    Ciappi, F.
    Dini, D.
    Pratesi, C.
    Gensini, G. F.
    HEART LUNG AND VESSELS, 2009, 1 (01) : 54 - 58
  • [33] Goal-directed fluid therapy for oesophagectomy surgery
    Joosten, Alexandre
    Van der Linden, Philippe
    Vincent, Jean-Louis
    Duranteau, Jacques
    BRITISH JOURNAL OF ANAESTHESIA, 2021, 126 (02) : E54 - E55
  • [34] Goal-directed fluid therapy in the perioperative setting
    Kendrick, Julia B.
    Kaye, Alan David
    Tong, Yiru
    Belani, Kumar
    Urman, Richard D.
    Hoffman, Christopher
    Liu, Henry
    JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY, 2019, 35 : 29 - 34
  • [35] Implementation of early goal-directed therapy in Finland
    M Varpula
    Critical Care, 11 (Suppl 2):
  • [36] Goal-directed therapy is successful - in the right patients
    Bennett, ED
    CRITICAL CARE MEDICINE, 2002, 30 (08) : 1909 - 1910
  • [37] Perioperative goal-directed therapy - What is the evidence?
    Kaufmann, Thomas
    Saugel, Bernd
    Scheeren, Thomas W. L.
    BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2019, 33 (02) : 179 - 187
  • [38] Goal-directed therapy in sepsis strikes back
    Skurzak, Stefano
    Gallo, Mauro
    Lavezzo, Bruna
    Iannandrea, Sara
    Balagna, Roberto
    INTENSIVE CARE MEDICINE, 2022, 48 (04) : 502 - 503
  • [39] Goal-directed therapy: hit early and personalize!
    Saugel, Bernd
    Michard, Frederic
    Scheeren, Thomas W. L.
    JOURNAL OF CLINICAL MONITORING AND COMPUTING, 2018, 32 (03) : 375 - 377
  • [40] The Physiology of Early Goal-Directed Therapy for Sepsis
    Lief, Lindsay
    Arbo, John
    Berlin, David A.
    JOURNAL OF INTENSIVE CARE MEDICINE, 2017, 32 (10) : 567 - 573