ICU Management of Trauma Patients

Samuel A. Tisherman, MD, FCCM; Deborah M. Stein, MD, MPH, FCCM

Disclosures

Crit Care Med. 2018;46(12):1991-1997. 

In This Article

Endpoints of Resuscitation

The optimal single endpoint to determine the adequacy of resuscitation remains elusive. Normalization of vital signs and urine output are typical first steps, but these variables may miss ongoing, occult hypoperfusion. Markers of inadequate global oxygen delivery, such as base deficit, lactate level, or mixed venous oxygen saturation, should be used.[26,63] A recent Eastern Association for the Surgery of Trauma guideline suggested that focused ultrasound and arterial pressure waveform analysis could be useful for predicting volume responsiveness and may predict complications and organ failures, but not mortality.[64–67]

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