Point: Adherence to Early Goal-Directed Therapy

Slides:

Advertisements

Similar presentations

Volume 32, Issue 1, Pages (July 1957)

Advertisements

Volume 32, Issue 1, Pages (July 1957)

Volume 34, Issue 2, Pages (August 1958)

Tell-tale Telangiectasias

Colloquium on Therapy of Right Heart Failure

Volume 74, Issue 5, Pages (November 1978)

Left Bundle Branch Block and Intermittent Type A Preexcitation

Low-concentration Oxygen Therapy Via a Demand Oxygen Delivery System

Environmental Causes of Cancer of the Lung Other Than Tobacco Smoke

An Unusual Cause of Stridor and Progressive Shortness of Breath

When to Be Rash About a Fever and Headache

Right-Sided Chest Pain with Progressive Dyspnea

Volume 56, Issue 1, Pages (July 1969)

Epidemiology and Treatment of Lung Cancer in Seattle

Bovine Tuberculosis Eradication

Robert Pickering, M.D, Fernando J. Martinez, M.D CHEST

Hyperbaric Oxygenation in Cardiac and Pulmonary Disease

Varicosities of the Pulmonary Veins

A Case of Benign Inoculation Lymphoreticulosis Presenting as Axillary Lymphadenopathy of “Obscure” Origin MARDOQUEO I. SALOMON, M.D., F.C.C.P. Diseases.

Air Pollution and Chest Disease

Rheumatic Heart Disease in East Pakistan

Navin K. Jain, MD, Thiam H. Lie, MD, FCCP CHEST

Ambulatory Oxygen Therapy: Oxygen Inhalation at Home and Out-of-Doors*

Respiratory Retention of One Micron Particles in Man

Fever, Skin Eruption, Low Serum Gammaglobulin in a Child with Leukemia

Oxygen Therapy Titrated to Raise Mixed Venous Oxygen Content in COPD

Frank W. Ewald, MD, FCCP, Albert H. Scherff, MD CHEST

The Lung Cancer Stage Page

COUNTERPOINT: Is the Apnea-Hypopnea Index the Best Way to Quantify the Severity of Sleep-Disordered Breathing? No Naresh M. Punjabi, MD, PhD, FCCP CHEST

Counterpoint: Should Lactate Clearance Be Substituted for Central Venous Oxygen Saturation as Goals of Early Severe Sepsis and Septic Shock Therapy? No

Improving Outcomes for Severe Sepsis and Septic Shock: Tools for Early Identification of At-Risk Patients and Treatment Protocol Implementation Emanuel.

Acute Pulmonary Exacerbations of Sarcoidosis

Millennial Health Care

Krishman. Padmanabhan, M.D., F.C.C.P., Santi R. Dhar, M.D., F.C.C.P

Has the 6-Min Walk Distance Run Its Course?

Counterpoint: Adherence to Early Goal-Directed Therapy

Airway Stenting for Patients With Benign Airway Disease and the Food and Drug Administration Advisory Lund Mark E. , MD, FCCP, Force Seth , MD, FCCP

Pediatric Pulmonology Workforce

Decortication after 35 Years

Sleep Apnea, Hypothyroidism and Pulmonary Edema

PEEP, Auto-PEEP, and Waterfalls

A Case of Benign Inoculation Lymphoreticulosis Presenting as Axillary Lymphadenopathy of “Obscure” Origin MARDOQUEO I. SALOMON, M.D., F.C.C.P. Diseases.

Volume 104, Issue 1, Pages 1-2 (July 1993)

What Went Right Lewis A. Eisen, MD, FCCP, Richard H. Savel, MD CHEST

Identifying Pathogen in Culture-Negative Pneumonia

Reversal of the Anticoagulant Effects of Warfarin by Vitamin K1

Robert M. Hoffman, MD, Ronald A. Stiller, MD, PhD, FCCP CHEST

Volume 101, Issue 2, (February 1992)

Imaging for the Management of Community-Acquired Pneumonia

Spread the Word About CHEST in 2015

Brahms' Lullaby Revisited

Chemical Pneumonitis Due to Exposure to Bromine Compounds

Evolution in Reimbursement for Sleep Studies and Sleep Centers

Bedside Calibration Of Pulmonary Artery Catheters

Invasive Pulmonary Aspergillosis

Pulmonary Manifestations in a Case of Multiple Myeloma

A 7-Year-Old Boy With Sudden Onset of Loud Snoring

Effects of Beta-Adrenergic Agents on Hypokalemia

A Man in His 70s Presenting With Chest Pain and Hematuria

A Single Nasal Prong for Continuous Oxygen Therapy

Myocardial Sarcoidosis Unresponsive to Steroids

Paul E. Marik, MD, Karthik Raghunathan, MD, MPH, Joshua Bloomstone, MD

Volume 42, Issue 2, Pages (August 1962)

Calcification of the Coronary Artery

Myocardial Dysfunction in Sepsis Recent Insights

Jason Chertoff, MD, MPH, Paul Stevenson, MD, Hassan Alnuaimat, MD

Digitalis and Angina Pectoris

Volume 133, Issue 4, Pages (April 2008)

New Members of the Editorial Board

Rebuttal From Dr Kollef

Presentation transcript:

Point: Adherence to Early Goal-Directed Therapy Emanuel P. Rivers, MD, FCCP CHEST Volume 138, Issue 3, Pages 476-480 (September 2010) DOI: 10.1378/chest.10-1405 Copyright © 2010 The American College of Chest Physicians Terms and Conditions

Figure 1 The early goal-directed therapy algorithm. CVP = central venous pressure; Hct = hematocrit; MAP = mean arterial pressure; PRBC = packed RBCs; Scvo2 = central venous oxygen saturation. CHEST 2010 138, 476-480DOI: (10.1378/chest.10-1405) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

Figure 2 Peer-review publications that have examined early goal-directed therapy as an essential component of sepsis.17,23–41 CHEST 2010 138, 476-480DOI: (10.1378/chest.10-1405) Copyright © 2010 The American College of Chest Physicians Terms and Conditions