Cardiovascular therapy for sepsis: when, how and how much?

被引：1

作者：

Kochanek, M. ^{[1
,2
]}

Shimabukuro-Vornhagen, A. ^{[1
]}

Eichenauer, D. A. ^{[1
]}

Boell, B. ^{[1
]}

机构：

[1] Klinikum Univ Koln, Schwerpunkt Internist Intens Med, Klin Innere Med 1, Cologne, Germany

[2] Klinikum Univ Koln, Ctr Integrierte Onkol Koln Bonn, Klin Innere Med 1, Kerpener Str 62, D-50937 Cologne, Germany

来源：

INTERNIST | 2020年 / 61卷 / 10期

关键词：

Shock; septic; Cardiovascular system; instability; Catecholamines; Fluid therapy; Blood pressure; arterial; GOAL-DIRECTED RESUSCITATION; BALANCED CRYSTALLOIDS; SEPTIC SHOCK; OUTCOMES; SALINE;

D O I：

10.1007/s00108-020-00861-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The management of hemodynamic instability in the context of sepsis or septic shock is at the forefront in emergency care as well as in the intensive care unit. Cardiovascular instability has a dramatic impact on the rate of organ complications and mortality from sepsis. According to the guideline for the treatment of sepsis, mean arterial pressure should not fall below 65mmHg. Crystalloid balanced fluid and catecholamines are the cornerstones of therapy management for septic cardiovascular instability. In this article, the most important points of what, when and how much regarding circulation therapy are presented and critically discussed.

引用

页码：997 / 1001

页数：5

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