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

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Guidelines/Algorithms
Contemporary hemodynamic monitoring, fluid responsiveness, volume optimization, and endpoints of resuscitation: an AAST critical care committee clinical consensus
  1. Niels D Martin1,
  2. Panna Codner2,
  3. Wendy Greene3,
  4. Karen Brasel4,
  5. Christopher Michetti5
  6. On behalf of the AAST Critical Care Committee
    1. 1Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    2. 2Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    3. 3Department of Surgery, Emory University, Atlanta, Georgia, USA
    4. 4Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA
    5. 5Department of Surgery, Inova Fairfax Medical Center, Falls Church, Virginia, USA
    1. Correspondence to Dr Karen Brasel, Surgery, Oregon Health and Science University, Portland, OR 97239-3098, USA; kbrasel83{at}gmail.com

    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.

    http://creativecommons.org/licenses/by-nc/4.0/

    This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

    https://doi.org/10.1136/tsaco-2019-000411

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      Footnotes

      • Collaborators AAST Critical Care Committee: Addison May, Alexander Axelrad, Charles Adams, Christine Cocanour, David Gourlay, David Zonies, Dennis Kim, Heather Dolman, Joe Cuschieri, Matthew Lissauer, Michaela West, Pauline Park, Rachael Callcut, Richard Bagdonas, Ronald Simon, Sonlee West, Melvin Stone, Susan Evans, Travis Polk.

      • Contributors All authors except KB have contributed to drafting and editing of the manuscript. KB contributed to editing and revising the manuscript. The AAST Critical Care committee and the authors contributed to revising the manuscript.

      • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

      • Competing interests None declared.

      • Patient consent for publication Not required.

      • Provenance and peer review Not commissioned; externally peer reviewed.

      • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.

      • Author note This article is part of a compendium of guidelines provided by the AAST critical care committee. The intention of these guidelines is to inform practitioners with practical clinical guidance. In order to do this effectively and contemporarily, expert consensus via the critical care committee was obtained. Strict guideline methodology such a GRADE 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.