Goal-directed or goal-misdirected - how should we interpret the literature?
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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.
Published Version (Please cite this version)10.1186/cc8884
Publication InfoMiller, Timothy Ellis; & Roche, Anthony Michael (2010). Goal-directed or goal-misdirected - how should we interpret the literature?. Crit Care, 14(2). pp. 129. 10.1186/cc8884. Retrieved from https://hdl.handle.net/10161/12557.
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Associate Professor of Anesthesiology
Clinical and research interests are Enhanced Recovery and Perioperative Medicine; with particular interests in fluid management, and perioperative optimization of the high-risk non-cardiac surgery patient.