Le remplissage vasculaire au cours du choc septique. [Volume expansion during septic shock]

Details

Serval ID
serval:BIB_B87E5E32B8D7
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Le remplissage vasculaire au cours du choc septique. [Volume expansion during septic shock]
Journal
Bulletin de l'Academie Nationale de Médecine
Author(s)
Perret  C., Feihl  F.
ISSN
0001-4079 (Print)
Publication state
Published
Issued date
2000
Volume
184
Number
8
Pages
1621-9; discussion 1629-30
Notes
English Abstract
Journal Article
Review
Abstract
At its very early phase, septic shock is characterized by severe hypovolemia related to abundant fluid losses, increased venous compliance and maldistribution of extracellular fluid (interstitial edema, splanchnic pooling). It results in a drop in venous return and cardiac output. Volume expansion, with crystalloids or colloids produces a hyperdynamic state with high cardiac output and low peripheral resistances. The quantity of liquid administered rather than its composition is the main determinant. Clinical examination and hemodynamic monitoring (Swan-Ganz catheter) appear to provide the most useful criteria to assess the limits of liquid administration. Better understanding in the mechanisms of circulatory dysfunction due to the inflammation cascades might soon lead to a new approach in fluid therapy.
Keywords
Blood Volume/drug effects Cardiac Output Catheterization, Swan-Ganz/instrumentation/methods Colloids/*therapeutic use Fluid Therapy/*methods Hemodynamic Processes Humans Hypovolemia/diagnosis/*microbiology/physiopathology/*therapy Inflammation Isotonic Solutions Monitoring, Physiologic/instrumentation/methods Physical Examination/methods Plasma Substitutes/pharmacology/*therapeutic use Rehydration Solutions/*therapeutic use Shock, Septic/*complications/immunology Vascular Resistance
Pubmed
Web of science
Create date
25/01/2008 9:38
Last modification date
20/08/2019 15:26
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