Abstract
Our understanding of resuscitation in trauma and critically ill patients has evolved. Traditional end points and goals include restoration to normal vital signs and urine output. We have progressed from these crude measures of circulation to include restoration of chemical markers of hypoperfusion such as lactate and venous oxygenation. However, such markers are not perfect; these are often late findings. As technology has progressed, we are able to collect data regarding microcirculation. It has been debated whether microcirculatory evidence of hypoxia will provide more valuable information to target resuscitation efforts. The use of these data to accurately assess the adequacy of perfusion is still under investigation. The additional use of ultrasound in monitoring hemodynamic status is another useful noninvasive instrument.
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Robertson, T.E., Batson, S.D., Porter, J.M. (2015). End Points of Resuscitation. In: Latifi, R., Rhee, P., Gruessner, R. (eds) Technological Advances in Surgery, Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2671-8_11
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DOI: https://doi.org/10.1007/978-1-4939-2671-8_11
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