The Acute Care Anesthesiologist as Resuscitationist

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Resuscitation from critical illness or traumatic injury is no longer defined by massive crystalloid infusions, blood product transfusions without defined endpoints, or initiation of vasoactive medications at the physician’s discretion. Clearly defined, data-driven guidelines now exist that target specific goal-directed therapies in trauma, sepsis, and emergency general surgery,1–6 and incorporate both therapeutic and bedside diagnostic adjuncts.7–11 Ongoing research and controversy regarding resuscitation strategies in patients after trauma, for emergency surgery, or with sepsis will undoubtedly change current management paradigms. There is a need to maintain up-to-date knowledge and clinical excellence in the science of resuscitation that may suggest the need for specialization and expertise in the field of anesthesiology.
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