کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8610961 1567208 2016 23 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Lactate levels and hemodynamic coherence in acute circulatory failure
ترجمه فارسی عنوان
سطح لاکتات و انسجام همودینامیک در نارسایی حاد قلبی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی
In this review, the relationship between changes in macrohemodynamics during the development and treatment of acute circulatory failure is discussed in the context of coherence with microcirculation and changes in lactate. In models of circulatory failure, coherence between changes in macrocirculatory and microcirculatory perfusion and coherence with subsequent changes in lactate levels are more or less preserved. However, in patients, particularly those with septic shock, these relationships are much less clear. As many factors influence the effect of circulatory failure and infection on microcirculation and on lactate levels, this should not be surprising. Resuscitation should therefore aim at adequate tissue perfusion where systemic hemodynamics, microcirculatory perfusion parameters, and lactate levels should be used in their relevant context. This results in treating the individual patient as an n = 1 experiment.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Best Practice & Research Clinical Anaesthesiology - Volume 30, Issue 4, December 2016, Pages 523-530
نویسندگان
,