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Commentary

Goal directed therapy: how long can we wait?

Anthony C Gordon1 email and James A Russell2 email

1Clinical/Research Fellow, Critical Care Research Laboratories, Centre for Cardiovascular and Pulmonary Research, University of British Columbia, Vancouver, BC, Canada

2Professor of Medicine, Critical Care Research Laboratories, Centre for Cardiovascular and Pulmonary Research, University of British Columbia, Vancouver, BC, Canada

author email corresponding author email

Critical Care 2005, 9:647-648doi:10.1186/cc3951

Published: 23 November 2005


See related research articles http://ccforum.com/content/9/6/R687 and http://ccforum.com/content/9/6/R694

Abstract

Intensive monitoring and aggressive management of perioperative haemodynamics (goal directed therapy) have repeatedly been reported to reduce the significant morbidity and mortality associated with high risk surgery. It may not matter what particular monitor is used to assess cardiac output but it is essential to ensure adequate oxygen delivery. If this management cannot begin preoperatively, it is still worth beginning goal directed therapy in the immediate postoperative period.


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