Haemodynamic valuation in patients with septic shock. Thermodilution or echocardiography?

Authors

  • Daniel Paz Martín Jefe de Sección Anestesiología y Reanimación. Complejo Hospitalario de Toledo. Sección de Cuidados Intensivos de la SEDAR
  • María Beatríz Serna Gandía Servicio de Anestesiología y Cuidados Intensivos. Hospital Marina Salud Denia. Sección de Cuidados Intensivos de la SEDAR

DOI:

https://doi.org/10.30445/rear.v11i1.711

Keywords:

septic shock, thermodilution, echocardiography

Abstract

Septic shock represents one of the main causes of acute circulatory failure in the Intensive Care Units.

Both hemodynamic monitoring techniques based on thermodilution (TPT) and echocardiography (CCE) are widely used in the monitoring of critically ill patients with shock. However, to date, both monitoring modalities have not been sufficiently compared.

The aim of the present work was to evaluate the degree of concordance in the interpretation of the quantitative parameters derived from the monitoring with TPT and CCE in a cohort of mechanically ventilated patients with septic shock.

References

- Monitorización hemodinámica y fluidoterapia en la sepsis. D. Paz Martín, R. Vicho Pereira, MB Serna Gandía, En 50 Preguntas clave en Sepsis. Ed. Permamyer 201
- Dellinger RP, Levy MM, Rhodes A, et al. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41(2):580-637.
- Bouferrache K, Amiel JB, Chimot L, et al. Initial resuscitation guided by the Surviving Sepsis Campaign recommendations and early echocardiographic assessment of hemodynamics in intensive care unit patients: a pilot study. Crit Care Med. 2012;40(10):2821-2827.
- Michard F, Teboul JL. Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence. Chest. 2002;121(6):2000-8.
- Pulido JA, Afessa B, Masaki M, et al. Clinical Spectrum, Frequency, and Significance of Myo-cardial Dysfunction in Severe Sepsis and Septic Shock. Mayo Clin Proc. 2012; 87(7): 620–628.

Published

2020-09-10

How to Cite

Paz Martín, D., & Serna Gandía, M. B. (2020). Haemodynamic valuation in patients with septic shock. Thermodilution or echocardiography?. Revista Electrónica AnestesiaR, 11(1), 3. https://doi.org/10.30445/rear.v11i1.711

Issue

Section

Critical reviews of articles

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