How Do I Integrate Hemodynamic Variables When Managing Septic Shock?
Hemodynamic management of sepsis-induced circulatory failure is complex since this pathological state includes multiple cardiovascular derangements that can vary from patient to patient according to the degree of hypovolemia, of vascular tone depression, of myocardial depression and of microvascular...
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2016-11-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://kjccm.org/upload/pdf/kjccm-2016-00927.pdf |
| _version_ | 1818559357420306432 |
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| author | Olfa Hamzaoui Jean-Louis Teboul |
| author_facet | Olfa Hamzaoui Jean-Louis Teboul |
| author_sort | Olfa Hamzaoui |
| collection | DOAJ |
| description | Hemodynamic management of sepsis-induced circulatory failure is complex since this pathological state includes multiple cardiovascular derangements that can vary from patient to patient according to the degree of hypovolemia, of vascular tone depression, of myocardial depression and of microvascular dysfunction. The treatment of the sepsis-induced circulatory failure is thus not univocal and should be adapted on an individual basis. As physical examination is insufficient to obtain a comprehensive picture of the hemodynamic status, numerous hemodynamic variables more or less invasively collected, have been proposed to well assess the severity of each component of the circulatory failure and to monitor the response to therapy. In this article, we first describe the hemodynamic variables, which are the most relevant to be used, emphasizing on their physiological meaning, their validation and their limitations in patients with septic shock. We then proposed a general approach for managing patients with septic shock by describing the logical steps that need to be followed in order to select and deliver the most appropriate therapies. This therapeutic approach is essentially based on knowledge of physiology, of pathophysiology of sepsis, and of published data from clinical studies that addressed the issue of hemodynamic management of septic shock. |
| first_indexed | 2024-12-14T00:24:22Z |
| format | Article |
| id | doaj.art-43b12487cf5f4598b09358b5a9902bb0 |
| institution | Directory Open Access Journal |
| issn | 2383-4870 2383-4889 |
| language | English |
| last_indexed | 2024-12-14T00:24:22Z |
| publishDate | 2016-11-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-43b12487cf5f4598b09358b5a9902bb02022-12-21T23:25:06ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892016-11-0131426527510.4266/kjccm.2016.009271049How Do I Integrate Hemodynamic Variables When Managing Septic Shock?Olfa Hamzaoui0Jean-Louis Teboul1 Service de Réanimation Polyvalente, Hôpital Antoine Béclère, Hôpitaux universitaires Paris-Sud, Assistance Publique-Hôpitaux de Paris. Clamart, France Service de Réanimation Médicale, Hôpital Bicêtre, Hôpitaux universitaires Paris-Sud, Assistance Publique-Hôpitaux de Paris. Le Kremlin-Bicêtre, FranceHemodynamic management of sepsis-induced circulatory failure is complex since this pathological state includes multiple cardiovascular derangements that can vary from patient to patient according to the degree of hypovolemia, of vascular tone depression, of myocardial depression and of microvascular dysfunction. The treatment of the sepsis-induced circulatory failure is thus not univocal and should be adapted on an individual basis. As physical examination is insufficient to obtain a comprehensive picture of the hemodynamic status, numerous hemodynamic variables more or less invasively collected, have been proposed to well assess the severity of each component of the circulatory failure and to monitor the response to therapy. In this article, we first describe the hemodynamic variables, which are the most relevant to be used, emphasizing on their physiological meaning, their validation and their limitations in patients with septic shock. We then proposed a general approach for managing patients with septic shock by describing the logical steps that need to be followed in order to select and deliver the most appropriate therapies. This therapeutic approach is essentially based on knowledge of physiology, of pathophysiology of sepsis, and of published data from clinical studies that addressed the issue of hemodynamic management of septic shock.http://kjccm.org/upload/pdf/kjccm-2016-00927.pdfhemodynamicshemodynamic monitoringlactatesshock, septicveno-arterial carbon dioxide gapvenous oxygen saturation. |
| spellingShingle | Olfa Hamzaoui Jean-Louis Teboul How Do I Integrate Hemodynamic Variables When Managing Septic Shock? Korean Journal of Critical Care Medicine hemodynamics hemodynamic monitoring lactates shock, septic veno-arterial carbon dioxide gap venous oxygen saturation. |
| title | How Do I Integrate Hemodynamic Variables When Managing Septic Shock? |
| title_full | How Do I Integrate Hemodynamic Variables When Managing Septic Shock? |
| title_fullStr | How Do I Integrate Hemodynamic Variables When Managing Septic Shock? |
| title_full_unstemmed | How Do I Integrate Hemodynamic Variables When Managing Septic Shock? |
| title_short | How Do I Integrate Hemodynamic Variables When Managing Septic Shock? |
| title_sort | how do i integrate hemodynamic variables when managing septic shock |
| topic | hemodynamics hemodynamic monitoring lactates shock, septic veno-arterial carbon dioxide gap venous oxygen saturation. |
| url | http://kjccm.org/upload/pdf/kjccm-2016-00927.pdf |
| work_keys_str_mv | AT olfahamzaoui howdoiintegratehemodynamicvariableswhenmanagingsepticshock AT jeanlouisteboul howdoiintegratehemodynamicvariableswhenmanagingsepticshock |