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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.
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页码:817 / +
页数:23
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