Erschienen in:
01.02.2002 | Commentary
Early resuscitation in the emergency room: dramatic effects that we should not ignore
verfasst von:
David Bennett
Erschienen in:
Critical Care
|
Ausgabe 1/2002
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Excerpt
A recently reported paper by Rivers
et al. [
1] describes a pivotal study that clearly demonstrates that early goal-directed therapy has a significant role to play in the management of the critically ill septic patient. This of course contradicts the results obtained both by Hayes
et al. [
2] and Gattinoni
et al. [
3]. Those groups demonstrated that targeting oxygen delivery to a level of 600 ml/min per m
2 or a mixed venous saturation greater than 70% did not improve outcome, and indeed increased mortality in a subgroup of patients [
4] who were unable to reach the target values. …