Endpoints of Resuscitation

被引：8
作者：
Cestero, Ramon F. [1 ]
Dent, Daniel L. [1 ]
机构：
[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Surg, Div Trauma & Emergency Surg, San Antonio, TX 78229 USA
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2015年 / 95卷 / 02期
关键词：
Shock; Resuscitation; Hypoperfusion; Oxygen demand; GOAL-DIRECTED THERAPY; MECHANICALLY VENTILATED PATIENTS; PREDICTING FLUID RESPONSIVENESS; VENOUS OXYGEN-SATURATION; GASTRIC INTRAMUCOSAL PH; VENA-CAVA DIAMETER; BASE DEFICIT; SUBLINGUAL CAPNOMETRY; SEPTIC SHOCK; RESPIRATORY CHANGES;
D O I：
10.1016/j.suc.2014.10.004
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Despite the multiple causes of the shock state, all causes possess the common abnormality of oxygen supply not meeting tissue metabolic demands. Compensatory mechanisms may mask the severity of hypoxemia and hypoperfusion, since catecholamines and extracellular fluid shifts initially compensate for the physiologic derangements associated with patients in shock. Despite the achievement of normal physiologic parameters after resuscitation, significant metabolic acidosis may continue to be present in the tissues, as evidenced by increased lactate levels and metabolic acidosis. This review discusses the major endpoints of resuscitation in clinical use.
引用
收藏
页码：319 / +
页数：20
相关论文
共 93 条
  • [21] The prognostic value of muscle StO2 in septic patients
    Creteur, Jacques
    Carollo, Tiziana
    Soldati, Giulia
    Buchele, Gustavo
    De Backer, Daniel
    Vincent, Jean-Louis
    [J]. INTENSIVE CARE MEDICINE, 2007, 33 (09) : 1549 - 1556
  • [22] Gastric and sublingual capnometry
    Creteur, Jacques
    [J]. CURRENT OPINION IN CRITICAL CARE, 2006, 12 (03) : 272 - 277
  • [23] Can near-infrared spectroscopy identify the severity of shock in trauma patients?
    Crookes, BA
    Cohn, SM
    Bloch, S
    Amortegui, J
    Manning, R
    Li, P
    Proctor, MS
    Hallal, A
    Blackbourne, LH
    Benjamin, R
    Soffer, D
    Habib, F
    Schulman, CI
    Duncan, R
    Proctor, KG
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2005, 58 (04): : 806 - +
  • [24] Admission base deficit predicts transfusion requirements and risk of complications
    Davis, JW
    Parks, SN
    Kaups, KL
    Gladen, HE
    ODonnellNicol, S
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 41 (05) : 769 - 774
  • [25] Monitoring the microcirculation in the critically ill patient: current methods and future approaches
    De Backer, Daniel
    Ospina-Tascon, Gustavo
    Salgado, Diamantino
    Favory, Raphael
    Creteur, Jacques
    Vincent, Jean-Louis
    [J]. INTENSIVE CARE MEDICINE, 2010, 36 (11) : 1813 - 1825
  • [26] Dellinger RP, 2013, INTENS CARE MED, V41, P580, DOI [DOI 10.1097/CCM.0B013E31827E83AF, DOI 10.1007/s00134-012-2769-8]
  • [27] Impairments in microvascular reactivity are related to organ failure in human sepsis
    Doerschug, Kevin C.
    Delsing, Angela S.
    Schmidt, Gregory A.
    Haynes, William G.
    [J]. AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2007, 293 (02): : H1065 - H1071
  • [28] Cryptic septic shock: A sub-analysis of early, goal-directed therapy
    Donnino, MW
    Nguyen, B
    Jacobsen, G
    Tomlanovich, M
    Rivers, E
    [J]. CHEST, 2003, 124 (04) : 90S - 90S
  • [29] Prevalence and characteristics of nonlactate and lactate expressors in septic shock
    Dugas, Andrea Freyer
    Mackenhauer, Julie
    Salciccioli, Justin D.
    Cocchi, Michael N.
    Gautam, Shiva
    Donnino, Michael W.
    [J]. JOURNAL OF CRITICAL CARE, 2012, 27 (04) : 344 - 350
  • [30] Base deficit level indicating major injury is increased with ethanol
    Dunham, CM
    Watson, LA
    Cooper, C
    [J]. JOURNAL OF EMERGENCY MEDICINE, 2000, 18 (02) : 165 - 171
12345678910