کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5635909 | 1406653 | 2016 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Terapia temprana dirigida por metas en sepsis: ¿es momento para un nuevo algoritmo?
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
مراقبت های ویژه و مراقبتهای ویژه پزشکی
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چکیده انگلیسی
In 2001, Rivers and colleagues published the results of a randomised clinical trial, where a protocol for early therapy guided by clinical and haemodynamic goals in patients with septic shock demonstrated a reduction in mortality compared to usual care. This protocol includes the insertion of a central venous catheter for continuous measurement of central venous pressure and venous oxygen saturation, and the administration of red blood cells for patients with central venous oxygen saturation below 70%. These findings could not be reproduced by other studies, thus, Rivers strategy has been debated over the last few years. In this article, current evidence of early goal-directed therapy is reviewed, and an algorithm for initial management of septic shock, consistent with published studies is proposed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Acta Colombiana de Cuidado Intensivo - Volume 16, Issue 4, OctoberâDecember 2016, Pages 283-289
Journal: Acta Colombiana de Cuidado Intensivo - Volume 16, Issue 4, OctoberâDecember 2016, Pages 283-289
نویسندگان
Mario Andres Hernandez-Sómerson, Omar Bernal-Ramirez, Juan Camilo Jiménez-Palomino, Samuel Rodriguez-Urueña, Jose Roberto Jurado-Zambrano, Fernando Montoya-Agudelo,