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

• 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
• Journal Title: Trauma Surgery and Acute Care Open
• Volume: Volume 5, Number 1
• Publisher: BMJ | 2020-03-10, Pages e000411-e000411
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1136/tsaco-2019-000411
• Subjects: Health Sciences, Health Care Management; Health Sciences, Medicine and Surgery
• Keywords: hemodynamic monitoring; fluid responsiveness; volume assessment; endpoints of resuscitation; American Association for the Surgery of Trauma; critical care; practical clinical guidance

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.