[Fluid management: goal-directed therapy].
Goal-directed fluid therapy (GDT) is one important step in perioperative therapy as it improves complication rate and mortality by optimisation of oxygen delivery. There is a convincing evidence for GDT when used early, before organ failure occurs, and in high-risk patients. Moderne algorithms use goals derived from advanced haemodynamic monitoring and are based on the concept of fluid responsiveness and optimisation of global perfusion. Future investigations will have to prove the advantage of using the new less or non-invasive haemodynamic monitoring devices or automatic closed-loop fluid administration systems for GDT.
Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel. Seine Schwerpunkte sind: Anästhesiologisches Monitoring, Post-Reanimationstherapie, klinische Studien. matthias.gruenewald@uksh.de
Matthias
M
Grünewald
Ole
O
Broch
Berthold
B
Bein
D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016343:Monitoring, Intraoperative; D019990:Perioperative Care / Q000379:methods*; D018570:Risk Assessment