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Hemodynamic goal-directed therapy. A review
Patients can show arterial pressure and cardiac index within the normal range and still be in circulatory shock if oxygen and metabolic demand is increased or blood flow distribution is altered. Lactate is produced in anaerobic environment to preserve cellular integrity and physicians use its blood...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDIMES Edizioni Internazionali Srl
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484536/ https://www.ncbi.nlm.nih.gov/pubmed/23439079 |
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author | Romagnoli, S Romano, S M Bevilacqua, S Lazzeri, C Ciappi, F Dini, D Pratesi, C Gensini, G F |
author_facet | Romagnoli, S Romano, S M Bevilacqua, S Lazzeri, C Ciappi, F Dini, D Pratesi, C Gensini, G F |
author_sort | Romagnoli, S |
collection | PubMed |
description | Patients can show arterial pressure and cardiac index within the normal range and still be in circulatory shock if oxygen and metabolic demand is increased or blood flow distribution is altered. Lactate is produced in anaerobic environment to preserve cellular integrity and physicians use its blood concentration value as a reliable marker of tissue hypoxia and energy failure. The authors review the recent literature on the importance of mixed venous oxygen saturation (SvO(2)) as an early sign of inadequate DO(2) that precede the lactate production |
format | Online Article Text |
id | pubmed-3484536 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | EDIMES Edizioni Internazionali Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-34845362013-02-25 Hemodynamic goal-directed therapy. A review Romagnoli, S Romano, S M Bevilacqua, S Lazzeri, C Ciappi, F Dini, D Pratesi, C Gensini, G F HSR Proc Intensive Care Cardiovasc Anesth Brief-Report Patients can show arterial pressure and cardiac index within the normal range and still be in circulatory shock if oxygen and metabolic demand is increased or blood flow distribution is altered. Lactate is produced in anaerobic environment to preserve cellular integrity and physicians use its blood concentration value as a reliable marker of tissue hypoxia and energy failure. The authors review the recent literature on the importance of mixed venous oxygen saturation (SvO(2)) as an early sign of inadequate DO(2) that precede the lactate production EDIMES Edizioni Internazionali Srl 2009 /pmc/articles/PMC3484536/ /pubmed/23439079 Text en Copyright © 2009, HSR Proceedings in Intensive Care and Cardiovascular Anesthesia http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License 3.0, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode. |
spellingShingle | Brief-Report Romagnoli, S Romano, S M Bevilacqua, S Lazzeri, C Ciappi, F Dini, D Pratesi, C Gensini, G F Hemodynamic goal-directed therapy. A review |
title | Hemodynamic goal-directed therapy. A review |
title_full | Hemodynamic goal-directed therapy. A review |
title_fullStr | Hemodynamic goal-directed therapy. A review |
title_full_unstemmed | Hemodynamic goal-directed therapy. A review |
title_short | Hemodynamic goal-directed therapy. A review |
title_sort | hemodynamic goal-directed therapy. a review |
topic | Brief-Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484536/ https://www.ncbi.nlm.nih.gov/pubmed/23439079 |
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