Initial hemodynamic management of septic shock～where is and how to get the goal ?

• Shime Nobuaki

  Emergency & Critical Care Medicine, National Hospital Organization Kyoto Medical Center

Bibliographic Information

Other Title

• 敗血症性ショックの初期循環管理～どこをどのようにして目指せばよいのか

Abstract

Provision of early hemodynamic and oxygen transport resuscitation is one of the key components to improve outcome of the septic shock patients. Since year 2001, importance of achieving a goal in a context of early, quantitative goal-directed therapy(EGDT) has been implicated. Prompt administration of crystalloids such as Ringer's solutions by 30 ml/kg or 2,000 ml, in combination with vasopressors represented by noradrenaline, with referring mean arterial blood pressure and arterial lactate level has been accepted as a useful treatment option. Controversy exists, however, regarding the type of fluids, utilization of universal algorism including other hemodynamic parameters, or vasopressors/inotropes. Avoidance of excess fluid administration is also currently debated. This concise review will discuss current evidence on the aforementioned controversies.

Journal

• CIRCULATION CONTROL

  CIRCULATION CONTROL 36 (1), 11-17, 2015

  Japan Society of Circulation Control in Medicine

Keywords

• septic shock
• hemodynamic management
• early-goal directed therapy

Details

• CRID: 1390282679082861184
• NII Article ID: 130005072065
• DOI: 10.11312/ccm.36.11
• ISSN: 03891844
• Web Site: https://search.jamas.or.jp/link/ui/2016174993
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed