goal-directed therapy
Systematic approach to resuscitation using specific hemodynamic targets and protocols to optimize patient outcomes.
Full Definition
Goal-directed therapy (GDT) is a systematic approach to patient management that uses specific, measurable physiological targets to guide therapeutic interventions. In critical care, this typically involves achieving predetermined values for parameters such as central venous pressure, mean arterial pressure, cardiac output, or oxygen delivery. The concept gained prominence with early goal-directed therapy for sepsis, which used specific targets for central venous pressure, mean arterial pressure, and central venous oxygen saturation. Modern GDT has evolved to include individualized targets and advanced hemodynamic monitoring tools.
Usage
Usage note: Specify the particular targets or protocol when documenting GDT interventions.
In Context
- "The patient was managed with goal-directed therapy targeting specific hemodynamic parameters." — ICU progress note
- "Implementation of goal-directed therapy protocols improved perioperative outcomes." — Quality improvement report