目标导向治疗：我们能等待多久？
Goal directed therapy: how long can we wait?
作者信息
Gordon Anthony C, Russell James A
机构信息
Centre for Cardiovascular and Pulmonary Research, University of British Columbia, Vancouver, BC, Canada.
出版信息
Crit Care. 2005;9(6):647-8. doi: 10.1186/cc3951. Epub 2005 Nov 23.
Abstract
Intensive monitoring and aggressive management of perioperative haemodynamics (goal directed therapy) have repeatedly been reported to reduce the significant morbidity and mortality associated with high risk surgery. It may not matter what particular monitor is used to assess cardiac output but it is essential to ensure adequate oxygen delivery. If this management cannot begin preoperatively, it is still worth beginning goal directed therapy in the immediate postoperative period.
摘要
围手术期血流动力学的强化监测和积极管理（目标导向治疗）已多次被报道可降低与高风险手术相关的显著发病率和死亡率。使用何种特定监测仪来评估心输出量可能并不重要，但确保充足的氧输送至关重要。如果这种管理不能在术前开始，那么在术后即刻开始目标导向治疗仍然是值得的。
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