منابع مشابه
Septic shock in ICU: update in hemodynamic monitoring
One of the cornerstones of treatment of the patient in shock is the use of intravenous fl uids.4 However, its use and dosage is still carried out empirically. Fundamentally, the only reason for providing fl uids to a critically ill patient is to increase the systolic volume (SV) and, in this manner, the cardiac output (CO).5 However, taking into consideration that only 50% of critical patients ...
متن کامل[Current concepts on hemodynamic support and therapy in septic shock].
Severe sepsis and septic shock represent a major healthcare challenge. Much of the improvement in mortality associated with septic shock is related to early recognition combined with timely fluid resuscitation and adequate antibiotics administration. The main goals of septic shock resuscitation include intravascular replenishment, maintenance of adequate perfusion pressure and oxygen delivery t...
متن کاملHemodynamic support in fluid-refractory pediatric septic shock.
OBJECTIVE Assess outcome in children treated with inotrope, vasopressor, and/or vasodilator therapy for reversal of fluid-refractory and persistent septic shock. DESIGN Survey; case series. SETTING Three pediatric hospitals. PATIENTS Fifty consecutive patients with fluid-refractory septic shock with a pulmonary artery catheter within 6 hours of resuscitation. INTERVENTIONS Patients were...
متن کاملAdvanced Hemodynamic Management in Patients with Septic Shock
In patients with sepsis and septic shock, the hemodynamic management in both early and later phases of these "organ dysfunction syndromes" is a key therapeutic component. It needs, however, to be differentiated between "early goal-directed therapy" (EGDT) as proposed for the first 6 hours of emergency department treatment by Rivers et al. in 2001 and "hemodynamic management" using advanced hemo...
متن کاملThe role of echocardiography in hemodynamic assessment of septic shock.
Echocardiography is a rapid, noninvasive, comprehensive cardiac assessment option for patients presenting with hemodynamic instability. In patients with septic shock, echocardiography can be used to guide fluid therapy by measuring collapsibility of the inferior vena cava. Sepsis-induced myocardial dysfunction can be diagnosed, and responses to therapy can be monitored with echo. Patients with ...
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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2009
ISSN: 0832-610X,1496-8975
DOI: 10.1007/s12630-009-9168-9