title: [Role of oxygen venous saturation monitoring and CAVH in the multiple organ failure syndrome. Description of a clinical case].
abstract: A 42 year old man was admitted to the intensive Care Unit with signs and symptoms of septic shock, associated with adult respiratory distress syndrome (ARDS), jaundice and acute renal failure. In order to support different organs failures mechanical ventilation (IPPV, PSV, CPAP), continuous arteriovenous hemofiltration were affected, and continuous intravenous infusion of dopamine and dobutamine was started. After and during application of these therapeutic measures, continuous monitoring of mixed venous blood oxygen saturation (SvO2) was applied by Swan-Ganz fiber optic catheter in the pulmonary artery. Monitoring of SvO2 represented a useful means to guide inotropic therapy and to assess the hemodynamic effects of CAVH and mechanical ventilation. The case reported emphasized the role of continuous venous oximetry in multiple organ failure syndrome.
authors.affiliation: Istituto di Anestesiologia, Rianimazione e dell'Emergenza, Università degli Studi di Palermo.
authors.forename: P
authors.initials: P
authors.lastname: Costa
authors.forename: G
authors.initials: G
authors.lastname: Gulotta
authors.forename: C
authors.initials: C
authors.lastname: Agrò
authors.forename: V
authors.initials: V
authors.lastname: Romano
authors.forename: G
authors.initials: G
authors.lastname: Papa
authors.forename: F
authors.initials: F
authors.lastname: Piazza
authors.forename: B
authors.initials: B
authors.lastname: Sparacia
authors.forename: A
authors.initials: A
authors.lastname: Sansone
mesh_terms: D000328:Adult; D006440:Hemofiltration; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000628:therapy*; D010100:Oxygen / Q000097:blood*; D013577:Syndrome; D014680:Veins
chemical_list: D010100:Oxygen
vernacular_title: Ruolo della SvO2 e della CAVH nella sindrome da scompenso multiorgano (MOFS). Descrizione di un caso clinico.