Endpoint of resuscitation

The adequacy of resuscitation can be assessed in many different ways. Basic vital signs such as blood pressure, pulse, urine output, mentation, capillary refill, and skin profusion may guide clinical therapy. In the intensive care unit, use of a pulmonary artery catheter with the evaluation of hemodynamic variables can aid in resuscitation. Appropriate therapeutic goals depend on the clinical situation; a fluid challenge regimen allows optimization of the individual's filling pressures and/or stroke volume without prior assumption of fixed therapeutic endpoints.

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