Septic shock â Monitoring methods, parameters, end points

More documents

Recommendations

Info

Rivers et al NEJM, 2001, 345, 1368-1377 « Early Goal-directed Therapy » 263 patients : . Severe sepsis . <strong>Septic</strong> <strong>shock</strong> ECG, SpO 2 , UF Art cath , CVC Standard treatment n = 133 CVP 8 -12 mmHg MAP > 65 mmHg UF > 0.5 ml/kg/h For 6 hours Protocol n = 130 idem + ScvO 2 > 70% SaO 2 > 93% HT> 30 %
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 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: SvO 2 ScvO 2 AP TaO2 (IC Hb SaO2) V
Page 57: ADDING DOBUTAMINE TO NOREPINEPHRINE
Page 60: MicrocirculationAlteration and Outc
Page 63 and 64: Clinical signs Skin (color - temper
Page 65: ATP is life

Septic shock â Monitoring methods, parameters, end points

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?

Septic shock â Monitoring methods, parameters, end points