Septic shock â Monitoring methods, parameters, end points

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Response to Fluid Loading According Responsivness (%) 100 90 80 70 60 50 40 30 20 10 0 to GEDV < 500 < 550 < 600 < 645 > 645 > 700 > 750 > 800 > 850 > 900 > 950 Intérêt de la thermodilution transpulmonaire pour guider le remplissage vasculaire au cours du choc septique Michard F, Alaya S, Richard C, Teboul JL. SRLF 2002
Cardiac Output High ? Low ? Adequate CI? SvO2 , ScvO2 lactates pH i Clinical examination Inadequate
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 12 and 13: Clinical signs Skin (color - temper
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: Global End-diastolic Volume Michard
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