Septic shock â Monitoring methods, parameters, end points

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Clinical signs Skin (color – temperature) Mental status ,capillary refill Laboratory <strong>parameters</strong> Lactate WBC, ph, BE, PO 2 Global Hemodynamics and oxygenation Local circulation Microcirculation MAP, PP,SVV, CI, DO 2, VO 2 , ScvO2 Phi, gastric CO 2, urine flow Mitochondria
Clinical signs Skin (color – temperature) Mental status ,capillary refill Laboratory <strong>parameters</strong> Lactate WBC, ph, BE, PO 2 Global Hemodynamics and oxygenation Local circulation Microcirculation MAP, PP,SVV, CI,DO 2 ,VO 2 ScvO 2 Phi, gastric CO 2, urine flow Mitochondria
Page 1 and 2: Septic shock Persistent arterial hy
Page 3 and 4: Severe sepsis/septic shock Aims of
Page 5 and 6: Compensated shock may persists when
Page 7: Initial Resuscitation MAP ≥ 65 m
Page 10 and 11: yes Maintain established goals MAP
Page 14 and 15: Initial Resuscitation MAP ≥ 65 m
Page 17: RAP (mmHg) before volume expansion
Page 21 and 22: Guide to Fluid Therapy in Septic Sh
Page 23 and 24: Am J Respir Crit Care Med 2000; 162
Page 25 and 26: Stroke volume variation as a pre di
Page 27 and 28: Global End-diastolic Volume Michard
Page 29: Cardiac Output High ? Low ? Adequat
Page 34 and 35: SCHEMA D’INSTALLATION du PiCCO CV
Page 36 and 37: Stroke Volume Variation SV max SV m
Page 38 and 39: Fluid challenge 500 ml (7 ml/kg) (e
Page 40 and 41: 32 patients randomized : dopamine (
Page 42 and 43: 65 85
Page 44 and 45: UF Increasing MAP ? 65 Creatinine 8
Page 49 and 50: Septic shock. Inotropic Therapy . D
Page 51 and 52: SvO 2 ScvO 2 AP TaO2 (IC Hb SaO2) V
Page 56 and 57: ADDING DOBUTAMINE TO NOREPINEPHRINE
Page 59 and 60: Macrocirculation and MOF The densit
Page 62 and 63:
Initial Resuscitation MAP ≥ 65 m
Page 64 and 65:
O 2
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Septic shock â Monitoring methods, parameters, end points