Pregledni rad
https://doi.org/10.26800/LV-144-supl3-9
Hemodynamic optimization is sepsis: a path towards personalization
Jasminka Peršec
; Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica Dubrava, Zagreb, Stomatološki fakultet, Sveučilište u Zagrebu, Zagreb
Ivan Bandić
; Klinika za anesteziologiju, reanimatologiju i intenzivnu medicinu, Klinička bolnica Dubrava, Zagreb
Prilozi: 00d_SADRZAJ.pdf
Sažetak
Sepsis is a hemodynamically very complex condition that requires acute diagnostic and therapeutic procedures. The use of norepinephrine as vasoactive support and the main substrate for maintaining mean arterial pressure above 65 mmHg is a well-established clinical practice, but not without its limits. The use of secondary vasoactive drugs such as vasopressin and synthetic angiotensin II, and more acute and time-determining treatment are increasingly entering the intensive care units. Monitoring the progression of sepsis, or septic shock, is also being improved, through newer modalities of hemodynamic monitoring and new point-of-care laboratory findings that more closely monitor disease progression, for example by observing renin dynamics. In this review paper, new modalities of treatment and personalization of care for patients with septic shock and monitoring of treatment success are presented.
Ključne riječi
SEPSIS; HEMODYNAMICS; NOREPINEPHRINE; VASOPRESSIN; LACTATE; RENIN
Hrčak ID:
284188
URI
Datum izdavanja:
25.9.2022.
Posjeta: 903 *