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Goal-directed or goal-misdirected - how should we interpret the literature?
Goal-directed therapy (GDT) can be a vague term, meaning different things to different people and, depending on the clinical environment, sometimes even different things to the same person. It can refer to perioperative fluid management, clinicians driving oxygen delivery to supramaximal values, ear...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887118/ https://www.ncbi.nlm.nih.gov/pubmed/20236472 http://dx.doi.org/10.1186/cc8884 |
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author | Roche, Anthony M Miller, Timothy E |
author_facet | Roche, Anthony M Miller, Timothy E |
author_sort | Roche, Anthony M |
collection | PubMed |
description | Goal-directed therapy (GDT) can be a vague term, meaning different things to different people and, depending on the clinical environment, sometimes even different things to the same person. It can refer to perioperative fluid management, clinicians driving oxygen delivery to supramaximal values, early treatment of sepsis in the emergency department, and even to restriction of perioperative crystalloids with the goal of maintaining preadmission body weight. Understandably, strong opinions about GDT vary; some clinicians consider it essential for perioperative care, others completely ineffective in critically ill patients. This commentary aims to further position the excellent review by Lees and colleagues in the context of the critical care and perioperative setting. |
format | Text |
id | pubmed-2887118 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28871182011-03-10 Goal-directed or goal-misdirected - how should we interpret the literature? Roche, Anthony M Miller, Timothy E Crit Care Commentary Goal-directed therapy (GDT) can be a vague term, meaning different things to different people and, depending on the clinical environment, sometimes even different things to the same person. It can refer to perioperative fluid management, clinicians driving oxygen delivery to supramaximal values, early treatment of sepsis in the emergency department, and even to restriction of perioperative crystalloids with the goal of maintaining preadmission body weight. Understandably, strong opinions about GDT vary; some clinicians consider it essential for perioperative care, others completely ineffective in critically ill patients. This commentary aims to further position the excellent review by Lees and colleagues in the context of the critical care and perioperative setting. BioMed Central 2010 2010-03-10 /pmc/articles/PMC2887118/ /pubmed/20236472 http://dx.doi.org/10.1186/cc8884 Text en Copyright ©2010 BioMed Central Ltd |
spellingShingle | Commentary Roche, Anthony M Miller, Timothy E Goal-directed or goal-misdirected - how should we interpret the literature? |
title | Goal-directed or goal-misdirected - how should we interpret the literature? |
title_full | Goal-directed or goal-misdirected - how should we interpret the literature? |
title_fullStr | Goal-directed or goal-misdirected - how should we interpret the literature? |
title_full_unstemmed | Goal-directed or goal-misdirected - how should we interpret the literature? |
title_short | Goal-directed or goal-misdirected - how should we interpret the literature? |
title_sort | goal-directed or goal-misdirected - how should we interpret the literature? |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887118/ https://www.ncbi.nlm.nih.gov/pubmed/20236472 http://dx.doi.org/10.1186/cc8884 |
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