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当代血流动力学监测、液体反应性、容量优化及复苏终点:美国创伤外科学会危重症委员会临床共识

Contemporary hemodynamic monitoring, fluid responsiveness, volume optimization, and endpoints of resuscitation: an AAST critical care committee clinical consensus.

作者信息

Martin Niels D, Codner Panna, Greene Wendy, Brasel Karen, Michetti Christopher

机构信息

Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

出版信息

Trauma Surg Acute Care Open. 2020 Mar 10;5(1):e000411. doi: 10.1136/tsaco-2019-000411. eCollection 2020.

DOI:10.1136/tsaco-2019-000411
PMID:32201737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7066619/
Abstract

This article, on hemodynamic monitoring, fluid responsiveness, volume assessment, and endpoints of resuscitation, is part of a compendium of guidelines provided by the AAST (American Association for the Surgery of Trauma) critical care committee. The intention of these guidelines is to inform practitioners with practical clinical guidance. To do this effectively and contemporarily, expert consensus via the critical care committee was obtained. Strict guideline methodology such a GRADE (Grading of Recommendations Assessment, Development and Evaluation) was purposefully NOT used so as not to limit the possible clinical guidance. The critical care committee foresees this methodology as practically valuable to the bedside clinician.

摘要

本文关于血流动力学监测、液体反应性、容量评估及复苏终点,是美国创伤外科学会(AAST)危重症委员会提供的指南汇编的一部分。这些指南旨在为从业者提供实用的临床指导。为有效且及时地做到这一点,通过危重症委员会达成了专家共识。特意未使用诸如GRADE(推荐分级评估、制定与评价)这样严格的指南制定方法,以免限制可能的临床指导。危重症委员会预见这种方法对床边临床医生具有实际价值。

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本文引用的文献

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Early, Goal-Directed Therapy for Septic Shock - A Patient-Level Meta-Analysis.早期目标导向治疗脓毒性休克的患者水平荟萃分析。
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016.拯救脓毒症运动:脓毒症和脓毒性休克管理国际指南:2016 年版。
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