Directed therapy

This requires instrumentation for monitoring as described previously. Suggested targets, many of which indicate adequate organ perfusion, are given in Table.,2, No target figures are given for cardiac output, oxygen delivery, or oxygen consumption, as individual variations in the oxygen supply-demand balance are such that, while some patients may remain undertreated, many others will have their myocardium needlessly driven. Newer techniques such as gastric tonometry or tissue oxygen tension measurement require further validation before being recommended for general clinical usage.

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