Contemporary hemodynamic monitoring, fluid responsiveness, volume optimization, and endpoints of resuscitation: An AAST critical care committee clinical consensus

• Type of Material: Article
• Authors: Niels D. Martin, University of Pennsylvania; Panna Codner, Medical College of Wisconsin; Wendy Greene, Emory University; Karen Brasel, Oregon Health and Science University; Christopher Michetti, Inova Fairfax Medical Center
• Language: English
• Date: 2020-03-10
• Publisher: BMJ
• Publication Version: Final Published Version
• Copyright Statement: © Author(s) (or their employer(s)) 2020
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1136/tsaco-2019-000411
• Title of Journal or Parent Work: Trauma Surgery and Acute Care Open
• Volume: 5
• Issue: 1
• Start Page: e000411
• End Page: e000411
• Grant/Funding Information: The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
• Keywords: volume assessment; practical clinical guidance; American Association for the Surgery of Trauma; critical care; hemodynamic monitoring; endpoints of resuscitation; fluid responsiveness
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Health Care Management

Abstract

This article, on hemodynamic monitoring, fluid responsiveness, volume assessment, and endpoints of resuscitation, is part of a compendium of guidelines provided by the AAST (American Association for the Surgery of Trauma) critical care committee. The intention of these guidelines is to inform practitioners with practical clinical guidance. To do this effectively and contemporarily, expert consensus via the critical care committee was obtained. Strict guideline methodology such a GRADE (Grading of Recommendations Assessment, Development and Evaluation) was purposefully NOT used so as not to limit the possible clinical guidance. The critical care committee foresees this methodology as practically valuable to the bedside clinician.