Major resuscitation goals in the management of shock include restoration of adequate tissue perfusion and oxygen balance and normalization of cellular metabolism. Identification of the most appropriate endpoints of resuscitation is difficult and often debated in the literature. Traditional endpoints, such as heart rate, blood pressure, mental status, and urine output are useful in the initial identification of inadequate perfusion, but are limited in their ability to identify ongoing, compensated shock. Many clinicians continue to use these parameters as indicators that systemic oxygenation imbalances have resolved, even though they have been found to be poor indicators of ongoing tissue hypoxia. Additional resuscitation endpoints that more closely evaluate the adequacy of perfusion and oxygenation at the tissue level should also be used when managing the critically ill. Selected endpoints should include a variety of global and regional indicators to guide and evaluate the effectiveness of treatment.
Skip Nav Destination
Article navigation
1 July 2006
Symposium: Hemodynamic Monitoring|
July 01 2006
Endpoints of Resuscitation: What Should We Be Monitoring?
Cindy Goodrich, RN, MS, CCRN
Cindy Goodrich, RN, MS, CCRN
Cindy Goodrich is a Flight Nurse, Airlift Northwest, 6311 49th Ave SW, Seattle, WA 98136 (e-mail: [email protected]).
Search for other works by this author on:
AACN Adv Crit Care (2006) 17 (3): 306–316.
Citation
Cindy Goodrich; Endpoints of Resuscitation: What Should We Be Monitoring?. AACN Adv Crit Care 1 July 2006; 17 (3): 306–316. doi: https://doi.org/10.4037/15597768-2006-3008
Download citation file:
Sign in
Don't already have an account? Register
Short-term Access
Purchase short-term access on a pay-per-article or pay-per-issue basis.
$15 72 - hour single article access $30 7 - day full issue access