Saugel Bernd, Thomsen Kristen K, Maheshwari Kamal
Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Outcomes Research Consortium, Cleveland, OH, USA.
Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Br J Anaesth. 2023 Apr;130(4):390-393. doi: 10.1016/j.bja.2022.12.022. Epub 2023 Jan 31.
'Goal-directed haemodynamic therapy' describes various haemodynamic treatment strategies that have in common that interventions are titrated to achieve predefined haemodynamic targets. However, the treatment strategies differ substantially regarding the underlying haemodynamic target variables and target values, and thus presumably have different effects on outcome. It is an over-simplifying approach to lump complex and substantially differing haemodynamic treatment strategies together under the term 'goal-directed haemodynamic therapy', an imprecise umbrella term that we should thus stop using.
“目标导向血流动力学治疗”描述了各种血流动力学治疗策略,这些策略的共同之处在于,干预措施需进行调整以实现预先设定的血流动力学目标。然而,这些治疗策略在潜在的血流动力学目标变量和目标值方面存在很大差异,因此对治疗结果可能也有不同影响。将复杂且差异显著的血流动力学治疗策略统称为“目标导向血流动力学治疗”是一种过于简化的做法,这是一个不精确的统称,我们应停止使用。