A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-06-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/9/7/2052 |
| _version_ | 1797563814297731072 |
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| author | Amy Russell Emanuel P. Rivers Paresh C. Giri Anja K. Jaehne H. Bryant Nguyen |
| author_facet | Amy Russell Emanuel P. Rivers Paresh C. Giri Anja K. Jaehne H. Bryant Nguyen |
| author_sort | Amy Russell |
| collection | DOAJ |
| description | The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO<sub>2</sub>) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt. |
| first_indexed | 2024-03-10T18:48:28Z |
| format | Article |
| id | doaj.art-80f6fb8114204e2bae67595eaa8b1561 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T18:48:28Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-80f6fb8114204e2bae67595eaa8b15612023-11-20T05:21:34ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0197205210.3390/jcm9072052A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock ResuscitationAmy Russell0Emanuel P. Rivers1Paresh C. Giri2Anja K. Jaehne3H. Bryant Nguyen4Department of Emergency Medicine, Loma Linda University, Loma Linda, CA 92354, USADepartment of Emergency Medicine, Henry Ford Hospital, Detroit, MI 48202, USADivision of Pulmonary, Critical Care, Hyperbaric, Allergy, and Sleep Medicine, Loma Linda University, Loma Linda, CA 92354, USADepartment of Emergency Medicine, Henry Ford Hospital, Detroit, MI 48202, USADivision of Pulmonary, Critical Care, Hyperbaric, Allergy, and Sleep Medicine, Loma Linda University, Loma Linda, CA 92354, USAThe approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO<sub>2</sub>) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt.https://www.mdpi.com/2077-0383/9/7/2052shockresuscitationhemodynamic monitoringfluid responsivenessstroke volumevenous oxygen saturation |
| spellingShingle | Amy Russell Emanuel P. Rivers Paresh C. Giri Anja K. Jaehne H. Bryant Nguyen A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation Journal of Clinical Medicine shock resuscitation hemodynamic monitoring fluid responsiveness stroke volume venous oxygen saturation |
| title | A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation |
| title_full | A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation |
| title_fullStr | A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation |
| title_full_unstemmed | A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation |
| title_short | A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation |
| title_sort | physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation |
| topic | shock resuscitation hemodynamic monitoring fluid responsiveness stroke volume venous oxygen saturation |
| url | https://www.mdpi.com/2077-0383/9/7/2052 |
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