A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation

The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This...

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Detalles Bibliográficos
Autores principales: Russell, Amy, Rivers, Emanuel P., Giri, Paresh C., Jaehne, Anja K., Nguyen, H. Bryant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408843/
https://www.ncbi.nlm.nih.gov/pubmed/32629778
http://dx.doi.org/10.3390/jcm9072052
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author Russell, Amy
Rivers, Emanuel P.
Giri, Paresh C.
Jaehne, Anja K.
Nguyen, H. Bryant
author_facet Russell, Amy
Rivers, Emanuel P.
Giri, Paresh C.
Jaehne, Anja K.
Nguyen, H. Bryant
author_sort Russell, Amy
collection PubMed
description The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO(2)) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt.
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spelling pubmed-74088432020-08-13 A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation Russell, Amy Rivers, Emanuel P. Giri, Paresh C. Jaehne, Anja K. Nguyen, H. Bryant J Clin Med Review The approach to shock resuscitation focuses on all components of oxygen delivery, including preload, afterload, contractility, hemoglobin, and oxygen saturation. Resuscitation focused solely on preload and fluid responsiveness minimizes other key elements, resulting in suboptimal patient care. This review will provide a physiologic and practical approach for the optimization of oxygen delivery utilizing available hemodynamic monitoring technologies. Venous oxygen saturation (SvO(2)) and lactate will be discussed as indicators of shock states and endpoints of resuscitation within the framework of resolving oxygen deficit and oxygen debt. MDPI 2020-06-30 /pmc/articles/PMC7408843/ /pubmed/32629778 http://dx.doi.org/10.3390/jcm9072052 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Russell, Amy
Rivers, Emanuel P.
Giri, Paresh C.
Jaehne, Anja K.
Nguyen, H. Bryant
A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title_full A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title_fullStr A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title_full_unstemmed A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title_short A Physiologic Approach to Hemodynamic Monitoring and Optimizing Oxygen Delivery in Shock Resuscitation
title_sort physiologic approach to hemodynamic monitoring and optimizing oxygen delivery in shock resuscitation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7408843/
https://www.ncbi.nlm.nih.gov/pubmed/32629778
http://dx.doi.org/10.3390/jcm9072052
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