Resuscitation goals for the patient with sepsis and septic shock are to return the patient to a physiologic state that promotes adequate end-organ perfusion along with matching metabolic supply and demand. Ideal resuscitation end points should assess the adequacy of tissue oxygen delivery and oxygen consumption, and be quantifiable and reproducible. Despite years of research, a single resuscitation end point to assess adequacy of resuscitation has yet to be found. Thus, the clinician must rely on multiple end points to assess the patient’s overall response to therapy. This review will discuss the role and limitations of central venous pressure (CVP), mean arterial pressure (MAP), and cardiac output/index as macrocirculatory resuscitation targets along with lactate, central venous oxygen saturation (ScvO2), central venous-arterial CO2 gradient, urine output, and capillary refill time as microcirculatory resuscitation endpoints in patients with sepsis.
from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2gDz0Ev
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Oral Candida colonization in xerostomic post‐radiotherapy head and neck cancer patients 16h ... Oral Candida colonization in xerostomic post...
-
U.S. Department of Veterans Affairs Research News from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2iVEnBB
-
Clinical application of stress echocardiography for valvular heart disease Abstract Stress echocardiography is widely used to assess several...
-
MedStar replaced training diagrams with drone flyovers of the driving course to better demonstrate how to navigate a complicated driving sc...
-
Hard to believe, but there was a time we were without the most necessary EMS tools. That all changed, thanks to these creative minds. fro...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου