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. 2012 Oct-Dec;24(4):334–340. doi: 10.1590/S0103-507X2012000400007

Table 1.

Goals and physiological variables analyzed during maintenance care

Time goals Ventilatory goals
    a. Δtª - first clinical assessment: graphical complementary test <6 hours     a. PEEP = 8-10 cmH2O (t1)
    b. Δtb - first clinical assessment: recovery <24 hours     b. Tidal volume = 5-8 mL/kg (t1)
    c. Fulfillment of all time goals     c. Plateau pressure <30 cm H2O (t1)
      d. PaO2/FiO2 >300 (t1)
Temperature goals     e. Fulfillment of all ventilatory goals
    a. Measurement of central temperature     e'. Fulfillment of goals without PaO2/FiO2
    b. Temperature > 35 ºC (t0)  
    c. Temperature > 35 ºC (t1) Endocrine-metabolic goals
    d. Fulfillment of all temperature goals     a. Methylprednisolone 15 mg/kg every 24 hours
      b. Levothyroxine 300 μ g every 24 hours per enteral route
Hemodynamic goals     c. Glucose <180 mg% (t1)
    a. PAM >65 mm Hg (t1)     d. Insulin IV when glycemia >180 mg/dL
    b. Urine output >0.5 mL/kg/h and < 4 mL/kg/h (t1)     e. Na+ from 130-150 mEq/L (t1)
    c. Fulfillment of all hemodynamic goals     f. Fulfillment of all hormone replacement goals
   
Physiological variables Outcome indicators
    a. pH, base excess, PaO2/FiO2 (t0 e t1)     a. Losses due to cardiac arrest
    b. Heart rate, MAP (t0 and t1)     b. Actual donation
    c. Fluid infusion, vasopressor agents, urine output, and fluid balance (t0 e t1)     c. Transplanted organs/donor
    d. Glycemia (t0 and t1)     d. Losses due to family refusal
    e. Lactate, hematocrit, sodium, and creatinine (t1)     e. Losses due to medical contraindication

t0 - time of the first clinical assessment; t1 - immediately before recovery; MAP - mean arterial pressure; PEEP - positive end-expiratory pressure; PaO2/FiO2 - partial pressure of oxygen/fraction of inspired oxygen; IV - per intravenous route.