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

Niels D Martin; Panna Codner; Wendy Greene; Karen Brasel; Christopher Michetti; AAST Critical Care Committee

doi:10.1136/tsaco-2019-000411

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

Trauma Surg Acute Care Open. 2020 Mar 10;5(1):e000411. doi: 10.1136/tsaco-2019-000411. eCollection 2020.

Authors

Niels D Martin¹, Panna Codner², Wendy Greene³, Karen Brasel⁴, Christopher Michetti⁵; AAST Critical Care Committee

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

Affiliations

¹ Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
² Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
³ Department of Surgery, Emory University, Atlanta, Georgia, USA.
⁴ Department of Surgery, Oregon Health and Science University, Portland, Oregon, USA.
⁵ Department of Surgery, Inova Fairfax Medical Center, Falls Church, Virginia, USA.

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.