以目标导向治疗改善低资源环境下的围手术期护理：叙事性综述。
Improving perioperative care in low-resource settings with goal-directed therapy: a narrative review.
机构信息
Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
出版信息
Braz J Anesthesiol. 2024 Mar-Apr;74(2):744460. doi: 10.1016/j.bjane.2023.08.004. Epub 2023 Aug 28.
Perioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, according to patients' needs in order to prevent organic dysfunction development. In this opinion paper we aimed to focus a discussion on possible alternatives to invasive hemodynamic monitoring in low resource settings.
围术期目标导向治疗（PGDT）在大量荟萃分析中显著显示可降低高危患者的并发症发生率和死亡率。PGDT 的主要目标是根据患者的需求在手术期间和手术后个体化治疗液体、正性肌力药和血管加压药，以预防器官功能障碍的发生。在本意见文中，我们旨在讨论在资源有限的情况下替代有创血流动力学监测的可能方法。
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